Provider Demographics
NPI:1962495473
Name:SCHIFFMAN, DAVID (PHD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:SCHIFFMAN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 OLD POST RD
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-1192
Mailing Address - Country:US
Mailing Address - Phone:315-295-2100
Mailing Address - Fax:315-295-2125
Practice Address - Street 1:163 OLD POST RD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-1192
Practice Address - Country:US
Practice Address - Phone:845-876-4524
Practice Address - Fax:845-876-5474
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-30
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004100103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01281869Medicaid
NY01281869Medicaid
NYDSOV686320Medicare PIN