Provider Demographics
NPI:1972628410
Name:FOX & SCHINGO PLASTIC SURGERY PC
Entity Type:Organization
Organization Name:FOX & SCHINGO PLASTIC SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:518-346-2358
Mailing Address - Street 1:624 MCCLELLAN ST STE 203
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12304-1020
Mailing Address - Country:US
Mailing Address - Phone:518-346-2358
Mailing Address - Fax:518-372-3885
Practice Address - Street 1:624 MCCLELLAN ST STE 203
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-1020
Practice Address - Country:US
Practice Address - Phone:518-346-2358
Practice Address - Fax:518-372-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY134538-1208200000X
NY194229-1208200000X
NY230489-1208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10108054OtherCDPHP
NY10042364OtherCDPHP
NY4284OtherCDPHP
NY10000678OtherCDPHP
NY10042364OtherCDPHP
NYI17030Medicare UPIN
NY10000678OtherCDPHP
NYRB8024Medicare PIN
NY4284OtherCDPHP
H22332Medicare UPIN
NY56302AMedicare PIN
NY56302BMedicare PIN