Provider Demographics
NPI:1255436945
Name:SCHECHTER, MARC (DO)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 OLD COUNTRY RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-5018
Mailing Address - Country:US
Mailing Address - Phone:516-931-2320
Mailing Address - Fax:516-931-5734
Practice Address - Street 1:1181 OLD COUNTRY RD
Practice Address - Street 2:SUITE 3
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-5018
Practice Address - Country:US
Practice Address - Phone:516-931-2320
Practice Address - Fax:516-931-5734
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209668207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG98841Medicare UPIN
NY9X5631Medicare ID - Type Unspecified