Provider Demographics
NPI:1245405513
Name:JEFFREY P SCHACHNE MD
Entity Type:Organization
Organization Name:JEFFREY P SCHACHNE MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:P
Authorized Official - Last Name:SCHACHNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-962-6222
Mailing Address - Street 1:3630 HILL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:JEFFERSON VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10535-1502
Mailing Address - Country:US
Mailing Address - Phone:914-962-6222
Mailing Address - Fax:
Practice Address - Street 1:3630 HILL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:JEFFERSON VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10535-1502
Practice Address - Country:US
Practice Address - Phone:914-962-6222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY30E301OtherBCBS
NY14684OtherAETNA
NYWS233OtherOXFORD
NYWS233OtherOXFORD