Healthcare Provider Details

I. General information

NPI: 1154499408
Provider Name (Legal Business Name): STEVEN NEIL SCHECHTERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2006
Last Update Date: 09/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 COAL AVE SE
ALBUQUERQUE NM
87106-5205
US

IV. Provider business mailing address

1001 COAL AVE SE
ALBUQUERQUE NM
87106-5205
US

V. Phone/Fax

Practice location:
  • Phone: 505-938-5858
  • Fax: 505-938-5859
Mailing address:
  • Phone: 505-938-5858
  • Fax: 505-938-5859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD2011-0431
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: