MEDICARE: EMANUEL SCHIOWITZ DO 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	207Q00000X	Family Medicine Physician	226161	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	091347	OTHER	NY	HIP
3	1C6715	OTHER	NY	PHS
4	218420101	OTHER	NY	HEALTH PLUS
5	091347-A15	OTHER	NY	HEALTH FIRST
6	KP114	OTHER	NY	OXFORD
7	503977	OTHER	NY	AETNA
8	BKX032101	OTHER	NY	AMERICHOICE

General Provider Information

NPI Number	:	1821012451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMANUEL SCHIOWITZ DO P C

Provider Business Mailing Address
First Line	:	1701 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2254
Country	:	US
Telephone Number	:	718-259-0222
Fax Number	:	718-259-1097

Provider Business Practice Location Address
First Line	:	1701 59TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11204-2254
Country	:	US
Telephone Number	:	718-259-0222
Fax Number	:	718-259-1097

Authorized Official
Title or Position	:	PROPRIETOR
Name	:	DR. EMANUEL SCHIOWITZ
Credential	:	D.O
Telephone Number	:	718-259-0222

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	11/20/2015

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