Provider Demographics
NPI:1265407571
Name:SCHAB, DAVID WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:WILLIAM
Last Name:SCHAB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:25 5TH AVE
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4307
Mailing Address - Country:US
Mailing Address - Phone:212-580-2777
Mailing Address - Fax:646-439-9209
Practice Address - Street 1:25 5TH AVE
Practice Address - Street 2:SUITE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4307
Practice Address - Country:US
Practice Address - Phone:212-580-2777
Practice Address - Fax:646-439-9209
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-21
Last Update Date:2014-02-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2288292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02640917Medicaid
NY436BX1Medicare ID - Type Unspecified
NY02640917Medicaid