Provider Demographics
NPI:1073550943
Name:ELAINE SCHATTNER, MD, PLLC
Entity Type:Organization
Organization Name:ELAINE SCHATTNER, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:WINHEIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-680-6800
Mailing Address - Street 1:215 E 68TH ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5718
Mailing Address - Country:US
Mailing Address - Phone:212-988-8988
Mailing Address - Fax:212-535-0692
Practice Address - Street 1:215 E 68TH ST
Practice Address - Street 2:SUITE 8
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5718
Practice Address - Country:US
Practice Address - Phone:212-988-8988
Practice Address - Fax:212-535-0692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175386-1207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWBW181Medicare ID - Type UnspecifiedEMPIRE MEDICARE