Provider Demographics
NPI:1972617801
Name:ADAM DAVID SCHAFFNER, M.D., P.L.L.C.
Entity Type:Organization
Organization Name:ADAM DAVID SCHAFFNER, M.D., P.L.L.C.
Other - Org Name:PLASTIC SURGERY INSTITUTE OF NEW YORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SCHAFFNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-309-8300
Mailing Address - Street 1:590 5TH AVE STE 1101
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4702
Mailing Address - Country:US
Mailing Address - Phone:212-481-6696
Mailing Address - Fax:877-992-0274
Practice Address - Street 1:590 5TH AVE # 1101
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4702
Practice Address - Country:US
Practice Address - Phone:212-481-6696
Practice Address - Fax:877-992-0274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY217426208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7M4791Medicare ID - Type Unspecified
NYA400040926Medicare PIN
I05323Medicare UPIN