Provider Demographics
NPI:1205884285
Name:SCHACHNE, JEFFREY PETER (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:PETER
Last Name:SCHACHNE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:MOUNT. KISCO MEDICAL GROUP, PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-243-0176
Practice Address - Street 1:3680 HILL BLVD
Practice Address - Street 2:MOUNT KISCO MEDICAL GROUP, PC
Practice Address - City:JEFFERSON VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10535-1500
Practice Address - Country:US
Practice Address - Phone:914-241-1050
Practice Address - Fax:914-243-0176
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2016-06-27
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Provider Licenses
StateLicense IDTaxonomies
NY163498207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01709746Medicaid
NY30E3006761Medicare PIN
NY01709746Medicaid