Provider Demographics
NPI:1285843755
Name:H ALAN SCHNALL MD PLLC
Entity Type:Organization
Organization Name:H ALAN SCHNALL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:H ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-520-0600
Mailing Address - Street 1:11045 QUEENS BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5501
Mailing Address - Country:US
Mailing Address - Phone:718-520-0600
Mailing Address - Fax:718-261-6852
Practice Address - Street 1:11045 QUEENS BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5501
Practice Address - Country:US
Practice Address - Phone:718-520-0600
Practice Address - Fax:718-261-6852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY147739207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00083223OtherMC RR
NY00973620Medicaid
NY00973620Medicaid
NYB79560Medicare UPIN