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NPI Code Detail

MEDICARE: NANCY J. SCHIFFMAN, OD PC.

MEDICARE: NANCY J. SCHIFFMAN, OD PC.
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
1152W00000XOptometristTUV005026NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125701OTHERNJAETNA

General Provider Information

NPI Number : 1750539706
Entity Type Code : Organization
Provider Name (Legal Business Name) : NANCY J. SCHIFFMAN, OD PC.
Provider Business Mailing Address
First Line : 60 S PINE ST
Second Line :
City : KATONAH
State : NY
Zip : 10536-1807
Country : US
Telephone Number : 914-232-8040
Fax Number :
Provider Business Practice Location Address
First Line : 75 W ROUTE 59
Second Line : SEARS OPTICAL DEPARTMENT
City : NANUET
State : NY
Zip : 10954-2700
Country : US
Telephone Number : 914-232-8040
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. NANCY J. SCHIFFMAN
Credential :
Telephone Number : 845-627-2582
Provider Enumeration Date : 09/03/2008
Last Update Date : 09/03/2008

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