Healthcare Provider Details

I. General information

NPI: 1922079912
Provider Name (Legal Business Name): MICHAEL SCHOOLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 07/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

672 STONELEIGH AVE
CARMEL NY
10512
US

IV. Provider business mailing address

672 STONELEIGH AVE
CARMEL NY
10512-3997
US

V. Phone/Fax

Practice location:
  • Phone: 845-279-3900
  • Fax: 845-279-4301
Mailing address:
  • Phone: 845-279-3900
  • Fax: 845-279-4301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number137308
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: