Healthcare Provider Details

I. General information

NPI: 1942522263
Provider Name (Legal Business Name): ALAN R. SCHADLOW, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 03/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 VETERANS RD
YORKTOWN HTS NY
10598-4106
US

IV. Provider business mailing address

206 VETERANS RD
YORKTOWN HTS NY
10598-4106
US

V. Phone/Fax

Practice location:
  • Phone: 914-962-3824
  • Fax:
Mailing address:
  • Phone: 914-962-3824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALAN R SCHADLOW
Title or Position: PHYSICIAN
Credential:
Phone: 914-962-3824