Provider Demographics
NPI:1205946092
Name:SCHECHTER, JOEL STEPHEN
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:STEPHEN
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:JOEL
Other - Middle Name:STEPHEN
Other - Last Name:SCHECHTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:681 WHISKEY ROAD
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:11961
Mailing Address - Country:US
Mailing Address - Phone:631-744-8113
Mailing Address - Fax:
Practice Address - Street 1:681 WHISKEY ROAD
Practice Address - Street 2:
Practice Address - City:RIDGE
Practice Address - State:NY
Practice Address - Zip Code:11961
Practice Address - Country:US
Practice Address - Phone:631-744-8113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030010122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY030010OtherNYS REG NO