Healthcare Provider Details

I. General information

NPI: 1962917492
Provider Name (Legal Business Name): ISRAEL SCHUR MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2017
Last Update Date: 03/02/2020
Certification Date: 03/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 CENTRE ST FL 5
NEW YORK NY
10013-3613
US

IV. Provider business mailing address

182 INDUSTRIAL RD
GLEN ROCK PA
17327-8626
US

V. Phone/Fax

Practice location:
  • Phone: 212-966-2020
  • Fax: 212-966-2022
Mailing address:
  • Phone: 833-426-3636
  • Fax: 717-759-5435

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ISRAEL SCHUR
Title or Position: OWNER
Credential: MD
Phone: 833-426-3636