Provider Demographics
NPI:1164436218
Name:SCHIOWITZ, AVI HOWARD (DO)
Entity Type:Individual
Prefix:DR
First Name:AVI
Middle Name:HOWARD
Last Name:SCHIOWITZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 59TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2254
Mailing Address - Country:US
Mailing Address - Phone:718-259-0222
Mailing Address - Fax:718-259-1097
Practice Address - Street 1:1701 59TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2254
Practice Address - Country:US
Practice Address - Phone:718-259-0222
Practice Address - Fax:718-259-1097
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221224207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY010029601OtherAMERICHOICE
NYP2532338OtherOXFORD
NY221224-A15OtherHEALTH FIRST
NY02177457Medicaid
NY217300101OtherHEALTH PLUS
NY221224-A15OtherHEALTH FIRST
NYP2532338OtherOXFORD