Healthcare Provider Details

I. General information

NPI: 1184749244
Provider Name (Legal Business Name): ROBERT STEPHEN SCHACHTER ED.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 E 56TH ST 1F
NEW YORK NY
10022-3631
US

IV. Provider business mailing address

150 EAST 56TH ST. 1F
NEW YORK NY
10022-3632
US

V. Phone/Fax

Practice location:
  • Phone: 212-308-1666
  • Fax: 212-317-0906
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number7845-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: