Provider Demographics
NPI:1578763785
Name:DAVID SCHECHTER MD FACC PC
Entity Type:Organization
Organization Name:DAVID SCHECHTER MD FACC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHECHTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACC PC
Authorized Official - Phone:718-717-0237
Mailing Address - Street 1:14207 BOOTH MEMORIAL AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5343
Mailing Address - Country:US
Mailing Address - Phone:718-961-5722
Mailing Address - Fax:718-321-3099
Practice Address - Street 1:14207 BOOTH MEMORIAL AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5343
Practice Address - Country:US
Practice Address - Phone:718-961-5722
Practice Address - Fax:718-321-3099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-25
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170901174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02313862Medicaid
NY08141Medicare PIN
NY02313862Medicaid