Provider Demographics
NPI:1437233954
Name:SCHIFF-MAYER, MORISA (MD)
Entity Type:Individual
Prefix:DR
First Name:MORISA
Middle Name:
Last Name:SCHIFF-MAYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 BOGART AVE
Mailing Address - Street 2:
Mailing Address - City:PORT WASHINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11050-3320
Mailing Address - Country:US
Mailing Address - Phone:516-317-0094
Mailing Address - Fax:516-883-8227
Practice Address - Street 1:56 BOGART AVE
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:NY
Practice Address - Zip Code:11050-3320
Practice Address - Country:US
Practice Address - Phone:516-317-0094
Practice Address - Fax:516-883-8227
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1696932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY011279628Medicaid
NY14F001Medicare ID - Type Unspecified