Provider Demographics
NPI:1982688966
Name:SCHERZ, MALCOLM (PHD)
Entity Type:Individual
Prefix:DR
First Name:MALCOLM
Middle Name:
Last Name:SCHERZ
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 1:3915 HYLAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10308-3425
Mailing Address - Country:US
Mailing Address - Phone:718-948-7800
Mailing Address - Fax:718-948-1733
Practice Address - Street 1:3915 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10308-3425
Practice Address - Country:US
Practice Address - Phone:718-948-7800
Practice Address - Fax:718-948-1733
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4520103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0096525OtherGHI
NY146132OtherVALUE OPTIONS
NY4212200OtherAETNA
NYP618974OtherOXFORD
NY166263OtherELDERPLAN
NY179617OtherHEALTHNET
NYV19011Medicare ID - Type Unspecified