Provider Demographics
NPI:1558772244
Name:SCHATZ, PHILIP (DPM)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:
Last Name:SCHATZ
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 BEECHWOOD PL
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11783-2023
Mailing Address - Country:US
Mailing Address - Phone:718-510-7333
Mailing Address - Fax:
Practice Address - Street 1:2870 HEMPSTEAD TPKE STE 103
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1341
Practice Address - Country:US
Practice Address - Phone:516-735-4545
Practice Address - Fax:516-735-2652
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-15
Last Update Date:2020-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006743213E00000X
NYP89260213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty