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General NPI Number Information
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NPI Number | 1407948334
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Entity Type | Individual
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Provider Name | EDWARD ALAN SCHECHTMAN PHD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 340 VETERANS MEMORIAL HWY SUITE 2
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City | COMMACK
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State | NY
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Zip | 11725-4300
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Country | US
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Telephone | 631-543-1234
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Fax | 631-858-0783
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Provider Business Mailing Address
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Address Line | PO BOX 545
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City | COMMACK
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State | NY
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Zip | 11725-0545
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Country | US
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Telephone | 631-543-1234
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Fax | 631-858-0783
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 012762
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License Number State | NY
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