Provider Demographics
NPI:1437183522
Name:SCHAFFER, HAL K (MD)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:K
Last Name:SCHAFFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2000
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2000
Mailing Address - Country:US
Mailing Address - Phone:518-828-8363
Mailing Address - Fax:518-697-3388
Practice Address - Street 1:1301 RIVER ST
Practice Address - Street 2:SUITE 108
Practice Address - City:VALATIE
Practice Address - State:NY
Practice Address - Zip Code:12184-9694
Practice Address - Country:US
Practice Address - Phone:518-758-8300
Practice Address - Fax:518-758-9679
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY188143207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY040426007318OtherFIDELIS
NY198669OtherWELLCARE
NY5990570OtherAETNA
NY66684OtherGHI HMO
NY000913973005OtherBLUE SHIELD OF NORTHEASTE
NY01389660Medicaid
NY2201134OtherGHI PPO
NY351802OtherMVP
NYP00079435OtherRAILROAD MEDICARE
NY10026300OtherCAPITAL DISTRICT PHYSICIA
NY8P0171OtherEMPIRE BLUE CROSS BLUE SH
NY351802OtherMVP
NY66684OtherGHI HMO