Provider Demographics
NPI:1710237789
Name:SCHIMMEL, STEVEN JAY (RPH)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:JAY
Last Name:SCHIMMEL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 E 89TH ST APT 29C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1231
Mailing Address - Country:US
Mailing Address - Phone:917-331-1429
Mailing Address - Fax:
Practice Address - Street 1:806 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7316
Practice Address - Country:US
Practice Address - Phone:212-838-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037206183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist