MEDICARE: MERRYL A SCHECHTMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	175036	NY
2	2080P0006X	Developmental - Behavioral Pediatrics Physician	175036	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	175036	OTHER	NY	NYS LICENSE NUMBER

General Provider Information

NPI Number	:	1013073956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MERRYL A SCHECHTMAN MD

Provider Business Mailing Address
First Line	:	372 CARROLL CLOSE
Second Line	:
City	:	TARRYTOWN
State	:	NY
Zip	:	10591-5218
Country	:	US
Telephone Number	:	914-649-8815
Fax Number	:	718-839-7229

Provider Business Practice Location Address
First Line	:	1225 MORRIS PARK AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-1949
Country	:	US
Telephone Number	:	718-430-3922
Fax Number	:	718-839-7229

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	03/27/2024

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