Provider Demographics
NPI:1750539706
Name:NANCY J. SCHIFFMAN, OD PC.
Entity type:Organization
Organization Name:NANCY J. SCHIFFMAN, OD PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHIFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-627-2582
Mailing Address - Street 1:60 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-1807
Mailing Address - Country:US
Mailing Address - Phone:914-232-8040
Mailing Address - Fax:
Practice Address - Street 1:75 W ROUTE 59
Practice Address - Street 2:SEARS OPTICAL DEPARTMENT
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2700
Practice Address - Country:US
Practice Address - Phone:914-232-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NANCY J. SCHIFFMAN, OD PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005026152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25701OtherAETNA
NYC183E1Medicare PIN
NJ25701OtherAETNA