MEDICARE: DR. AVI HOWARD SCHIOWITZ D.O

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	221224	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010029601	OTHER	NY	AMERICHOICE
2	P2532338	OTHER	NY	OXFORD
3	221224-A15	OTHER	NY	HEALTH FIRST
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	217300101	OTHER	NY	HEALTH PLUS

General Provider Information

NPI Number	:	1164436218
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AVI HOWARD SCHIOWITZ D.O

Provider Business Mailing Address
First Line	:	1701 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2254
Country	:	US
Telephone Number	:	718-259-0222
Fax Number	:	718-259-1097

Provider Business Practice Location Address
First Line	:	1701 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2254
Country	:	US
Telephone Number	:	718-259-0222
Fax Number	:	718-259-1097

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	02/01/2016

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