MEDICARE: DR. ROBERT L SCHULTZE M.D.

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	207W00000X	Ophthalmology Physician	203780	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0499815	OTHER	NY	GHI INDEMNITY
2	141811796	OTHER	NY	UNITED HEALTHCARE
3	000000050848	OTHER	NY	GHI HMO
4	10027137	OTHER	NY	CDPHP
5	000470858003	OTHER	NY	BLUE SHIELD
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	RS044Z3710	OTHER	NY	EMPIRE BC/BS
9	040426006137	OTHER	NY	FIDELIS
10	17383	OTHER	NY	MVP

General Provider Information

NPI Number	:	1417933540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT L SCHULTZE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 298
Second Line	:
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159-0298
Country	:	US
Telephone Number	:	518-475-1515
Fax Number	:	518-475-0645

Provider Business Practice Location Address
First Line	:	1220 NEW SCOTLAND RD
Second Line	:	SUITE 101
City	:	SLINGERLANDS
State	:	NY
Zip	:	12159-9208
Country	:	US
Telephone Number	:	518-475-1515
Fax Number	:	518-475-0645

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

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	04/20/2010

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Directions to “ DR. ROBERT L SCHULTZE M.D.” Practice Location

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