MEDICARE: JEFFREY S SCHULTZ 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	207WX0009X	Glaucoma Specialist (Ophthalmology) Physician	167222	NY
2	207W00000X	Ophthalmology Physician	167222	NY

General Provider Information

NPI Number	:	1417038845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY S SCHULTZ MD

Provider Business Mailing Address
First Line	:	545 W END AVE
Second Line	:	APT 11B
City	:	NEW YORK
State	:	NY
Zip	:	10024-2713
Country	:	US
Telephone Number	:	718-920-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	MEDICAL ARTS PAVILION
Second Line	:	3400 BAINBRIDGE AVE., STE. 123
City	:	BRONX
State	:	NY
Zip	:	10467
Country	:	US
Telephone Number	:	718-920-2020
Fax Number	:

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	04/30/2018

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