Healthcare Provider Details

I. General information

NPI: 1528039013
Provider Name (Legal Business Name): STEVEN SCHIZ M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 07/23/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 SHERWOOD PL
GREENWICH CT
06830-5638
US

IV. Provider business mailing address

42 SHERWOOD PL
GREENWICH CT
06830-5638
US

V. Phone/Fax

Practice location:
  • Phone: 203-661-2440
  • Fax: 203-661-8103
Mailing address:
  • Phone: 203-661-2440
  • Fax: 203-661-8103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number024657
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: