Healthcare Provider Details

I. General information

NPI: 1013015957
Provider Name (Legal Business Name): GERALD E SCHATTNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 UNION TPKE 301
NEW HYDE PARK NY
11040-1759
US

IV. Provider business mailing address

1300 UNION TPKE 301
NEW HYDE PARK NY
11040-1759
US

V. Phone/Fax

Practice location:
  • Phone: 156-354-8686
  • Fax: 516-328-8450
Mailing address:
  • Phone: 156-354-8686
  • Fax: 516-328-8450

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number0862862
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: