Healthcare Provider Details

I. General information

NPI: 1356872220
Provider Name (Legal Business Name): KEVIN SCHESING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 SEAVIEW AVE
STATEN ISLAND NY
10305-3419
US

IV. Provider business mailing address

1500 LEXINGTON AVE APT 15F
NEW YORK NY
10029-7357
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-9000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number304298
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberS13754336201904
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number304298
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: