Provider Demographics
NPI:1689663262
Name:SCHIFFER, TODD J (MD)
Entity Type:Individual
Prefix:
First Name:TODD
Middle Name:J
Last Name:SCHIFFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1075 CENTRAL PARK AVENUE
Mailing Address - Street 2:CENTRAL AVENUE PEDIATRICS
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583
Mailing Address - Country:US
Mailing Address - Phone:914-472-4300
Mailing Address - Fax:914-472-2489
Practice Address - Street 1:1075 CENTRAL PARK AVENUE
Practice Address - Street 2:CENTRAL AVENUE PEDIATRICS
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583
Practice Address - Country:US
Practice Address - Phone:914-472-4300
Practice Address - Fax:914-472-2489
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY204471208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1822671OtherUHC
060605000005OtherFIDELIS
6B4911OtherBCBS
0000000093461OtherGHI HMO
0178776OtherCIGNA
1081574OtherAETNA HMO
388181OtherMVP
P3611387OtherOXFORD
3C5202OtherHEALTHNET
NY02020955Medicaid
10103449OtherCAPITAL DISTR
5966537OtherAETNA PPO