Provider Demographics
NPI:1457569774
Name:MELVYN SCHAFF M.D., P.C.
Entity Type:Organization
Organization Name:MELVYN SCHAFF M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVYN
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:SCHAFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-737-6565
Mailing Address - Street 1:2127 CROMPOND RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567-4329
Mailing Address - Country:US
Mailing Address - Phone:914-737-6565
Mailing Address - Fax:914-737-5979
Practice Address - Street 1:2127 CROMPOND RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4329
Practice Address - Country:US
Practice Address - Phone:914-737-6565
Practice Address - Fax:914-737-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144748208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00618002Medicaid
NYD34163Medicare UPIN