Provider Demographics
NPI:1790706117
Name:SCHECHTER, DAVID (MD, FACC, PC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:MD, FACC, PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8611 LEFFERTS BLVD
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-2536
Mailing Address - Country:US
Mailing Address - Phone:718-961-5722
Mailing Address - Fax:888-366-0986
Practice Address - Street 1:8611 LEFFERTS BLVD
Practice Address - Street 2:SUITE 3A
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-2536
Practice Address - Country:US
Practice Address - Phone:718-961-5722
Practice Address - Fax:888-366-0986
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY170901207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02313862Medicaid
NY02313862Medicaid