Provider Demographics
NPI:1598728248
Name:SCHERER, RAYMOND NICHOLAS (PT)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:NICHOLAS
Last Name:SCHERER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:666 PELHAM RD
Mailing Address - Street 2:APT. 5A
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-1041
Mailing Address - Country:US
Mailing Address - Phone:718-822-4975
Mailing Address - Fax:
Practice Address - Street 1:672 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5008
Practice Address - Country:US
Practice Address - Phone:914-722-2400
Practice Address - Fax:914-722-2406
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026908-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ24M11Medicare ID - Type UnspecifiedPHYSICAL THERAPY