MEDICARE: PHILIP S. SCHNALL D.M.D. & LARRY R. FARKAS D.M.D. P.C

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	122300000X	Dentist

General Provider Information

NPI Number	:	1215144712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHILIP S. SCHNALL D.M.D. & LARRY R. FARKAS D.M.D. P.C

Provider Business Mailing Address
First Line	:	330 W 58TH ST STE 313
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-1821
Country	:	US
Telephone Number	:	212-247-7059
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 W 58TH ST STE 313
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-1821
Country	:	US
Telephone Number	:	212-247-7059
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LARRY R FARKAS
Credential	:	D.M.D.
Telephone Number	:	212-247-7059

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	08/22/2020

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