MEDICARE: DR. ROBERT STEPHEN SCHACHTER ED.D.

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	103TP2701X	Group Psychotherapy Psychologist	7845-1	NY

General Provider Information

NPI Number	:	1184749244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT STEPHEN SCHACHTER ED.D.

Provider Business Mailing Address
First Line	:	150 EAST 56TH ST.
Second Line	:	1F
City	:	NEW YORK
State	:	NY
Zip	:	10022-3632
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 E 56TH ST
Second Line	:	1F
City	:	NEW YORK
State	:	NY
Zip	:	10022-3631
Country	:	US
Telephone Number	:	212-308-1666
Fax Number	:	212-317-0906

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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