Provider Demographics
NPI:1407179583
Name:AUSTIN SCHLECKER MD PC
Entity Type:Organization
Organization Name:AUSTIN SCHLECKER MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:VORSANGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-646-7878
Mailing Address - Street 1:2560 OCEAN AVE
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4507
Mailing Address - Country:US
Mailing Address - Phone:718-646-7878
Mailing Address - Fax:718-646-4259
Practice Address - Street 1:2560 OCEAN AVE
Practice Address - Street 2:SUITE 3B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4507
Practice Address - Country:US
Practice Address - Phone:718-646-7878
Practice Address - Fax:718-646-4259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2017-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY141179207R00000X
NY071765207R00000X
NY151524207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty