Healthcare Provider Details

I. General information

NPI: 1609964980
Provider Name (Legal Business Name): NICHOLAS D. SCHIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520E. 70TH STREET, STARR 661
NEW YORK NY
10021
US

IV. Provider business mailing address

520E. 70TH STREET, STARR 661
NEW YORK NY
10021
US

V. Phone/Fax

Practice location:
  • Phone: 212-746-2323
  • Fax: 212-746-8742
Mailing address:
  • Phone: 212-746-0373
  • Fax: 212-746-7481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number200021
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: