Provider Demographics
NPI:1821272584
Name:SCHECHTMAN, DENNIS (RPH)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:SCHECHTMAN
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 1:1694 IVANHOE DR
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-4114
Mailing Address - Country:US
Mailing Address - Phone:516-867-0774
Mailing Address - Fax:
Practice Address - Street 1:1694 IVANHOE DR
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-4114
Practice Address - Country:US
Practice Address - Phone:516-867-0774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY27148183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist