Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 112529 | NY |
NPI | 1013933076 |
---|---|
Provider Name | Dr. Malcolm S Schoen |
First Address | Scarsdale, NY 10583-4523 |
Second Address | Scarsdale, NY 10583-4523 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 21/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00203796 | (05) | NY |
B78314 | (02) | NY |