Provider Demographics
NPI:1740384486
Name:SCHOOR, RICHARD ANDREW (MD FACS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ANDREW
Last Name:SCHOOR
Suffix:
Gender:M
Credentials:MD FACS
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Mailing Address - Street 1:285 E MAIN ST
Mailing Address - Street 2:SUITE 207
Mailing Address - City:SMITHTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11787-2978
Mailing Address - Country:US
Mailing Address - Phone:631-326-6035
Mailing Address - Fax:
Practice Address - Street 1:285 E MAIN ST
Practice Address - Street 2:SUITE 207
Practice Address - City:SMITHTOWN
Practice Address - State:NY
Practice Address - Zip Code:11787-2978
Practice Address - Country:US
Practice Address - Phone:631-326-6035
Practice Address - Fax:631-382-8238
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY220360208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY220360OtherLICENSE
NY220360OtherLICENSE
NY3S2862Medicare PIN