Provider Demographics
NPI:1578347571
Name:SCHECHTER, CLYDE BARRY (MA MD)
Entity Type:Individual
Prefix:
First Name:CLYDE
Middle Name:BARRY
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:MA MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1300 MORRIS PARK AVE BLDG 4TH
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1900
Mailing Address - Country:US
Mailing Address - Phone:646-228-4690
Mailing Address - Fax:
Practice Address - Street 1:1300 MORRIS PARK AVE BLDG 4TH
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1900
Practice Address - Country:US
Practice Address - Phone:646-228-4690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1311882083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine