Basic Information
| Provider Information | |||||||||
| NPI: | 1568734606 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SCHECHTER | ||||||||
| FirstName: | TAMAR | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1250 WATERS PL | ||||||||
| Address2: | STE 1203 | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104612735 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7184094044 | ||||||||
| FaxNumber: | 7187926515 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 GUSTAVE L LEVY PL | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100296574 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2122416500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2012 | ||||||||
| LastUpdateDate: | 04/20/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | 015010-1 | NY | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.