Provider Demographics
NPI:1396044640
Name:SCHIFFMAN, MICHAEL HARRIS (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:HARRIS
Last Name:SCHIFFMAN
Suffix:
Gender:M
Credentials:DMD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1385 YORK AVE APT 35J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3934
Mailing Address - Country:US
Mailing Address - Phone:516-987-1467
Mailing Address - Fax:
Practice Address - Street 1:141 FRANKLIN PL STE B
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1244
Practice Address - Country:US
Practice Address - Phone:516-569-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY059306204E00000X
NJ22DI02606800204E00000X
NJ25MA10164600204E00000X
NY281551204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery