Provider Demographics
NPI:1821012451
Name:EMANUEL SCHIOWITZ DO P C
Entity Type:Organization
Organization Name:EMANUEL SCHIOWITZ DO P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:718-259-0222
Mailing Address - Street 1:1701 59TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2254
Mailing Address - Country:US
Mailing Address - Phone:718-259-0222
Mailing Address - Fax:718-259-1097
Practice Address - Street 1:1701 59TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2254
Practice Address - Country:US
Practice Address - Phone:718-259-0222
Practice Address - Fax:718-259-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY226161207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00241185Medicaid
NY091347OtherHIP
NY1C6715OtherPHS
NY218420101OtherHEALTH PLUS
NY091347-A15OtherHEALTH FIRST
NYKP114OtherOXFORD
NY503977OtherAETNA
NYBKX032101OtherAMERICHOICE
NY503977OtherAETNA
NYBKX032101OtherAMERICHOICE
NY218420101OtherHEALTH PLUS