Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 175036 | NY |
N | 2080P0006X | Developmental - Behavioral Pediatrician | 175036 | NY |
NPI | 1013073956 |
---|---|
Provider Name | Merryl A Schechtman |
First Address | Katonah, NY 10536-2646 |
Second Address | Bronx, NY 10461 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 17/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
175036 | NYS LICENSE NUMBER (01) | NY |
56431 | CT LICENSE NUMBER (01) | CT |