Provider Demographics
NPI:1871507921
Name:SCHIOWITZ, EMANUEL (DO)
Entity Type:Individual
Prefix:DR
First Name:EMANUEL
Middle Name:
Last Name:SCHIOWITZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY091347207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYKP114OtherOXFORD
NYBKX032101OtherAMERICHOICE
NY00241185Medicaid
NY112439969OtherUNITED HEALTH CARE
NY091347-A15OtherHEALTH FIRST
NY091347OtherHIP
NY218420101OtherHEALTH PLUS
NY1C6715OtherPHS
NY503977OtherAETNA
NY266161Medicare ID - Type Unspecified
NYKP114OtherOXFORD