MEDICARE: FRANK SCHULTZ M.S. SPEC. ED

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	174400000X	Specialist		NY

General Provider Information

NPI Number	:	1871854687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK SCHULTZ M.S. SPEC. ED

Provider Business Mailing Address
First Line	:	205 PINEHURST AVE.
Second Line	:	APT. 4K
City	:	NEW YORK
State	:	NY
Zip	:	10033-1836
Country	:	US
Telephone Number	:	917-582-5404
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 PINEHURST AVE.
Second Line	:	APT. 4K
City	:	NEW YORK
State	:	NY
Zip	:	10033-1836
Country	:	US
Telephone Number	:	917-582-5404
Fax Number	:

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

Provider Enumeration Date	:	06/07/2012
Last Update Date	:	06/07/2012

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