Healthcare Provider Details

I. General information

NPI: 1013234343
Provider Name (Legal Business Name): DAVID SCHICK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2010
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

247 3RD AVE SUITE 203
NEW YORK NY
10010-7453
US

IV. Provider business mailing address

247 3RD AVE SUITE 203
NEW YORK NY
10010-7453
US

V. Phone/Fax

Practice location:
  • Phone: 212-353-0505
  • Fax:
Mailing address:
  • Phone: 212-353-0505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number274449-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number274449-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: