Provider Demographics
NPI:1689975195
Name:SCHMALTZ, STEVEN E (BC HIS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:E
Last Name:SCHMALTZ
Suffix:
Gender:M
Credentials:BC HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ONYX DR
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-2859
Mailing Address - Country:US
Mailing Address - Phone:585-223-4405
Mailing Address - Fax:
Practice Address - Street 1:785 SPENCERPORT RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14606-4819
Practice Address - Country:US
Practice Address - Phone:585-247-4810
Practice Address - Fax:585-247-4817
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000011707237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist