Provider Demographics
NPI:1497837231
Name:SCHAFRAN, NEIL S (OD)
Entity Type:Individual
Prefix:DR
First Name:NEIL
Middle Name:S
Last Name:SCHAFRAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 PARK ST APT 17E
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-1741
Mailing Address - Country:US
Mailing Address - Phone:973-229-3347
Mailing Address - Fax:
Practice Address - Street 1:87 NASSAU ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-3710
Practice Address - Country:US
Practice Address - Phone:212-233-8735
Practice Address - Fax:212-571-2237
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV004328152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00799624Medicaid
C58881Medicare ID - Type Unspecified
NY00799624Medicaid