Basic Information
| Provider Information | |||||||||
| NPI: | 1437183522 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SCHAFFER | ||||||||
| FirstName: | HAL | ||||||||
| MiddleName: | K | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2000 | ||||||||
| Address2: | |||||||||
| City: | HUDSON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 125342000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5188288363 | ||||||||
| FaxNumber: | 5186973388 | ||||||||
| Practice Location | |||||||||
| Address1: | 1301 RIVER ST | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | VALATIE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 121849694 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5187588300 | ||||||||
| FaxNumber: | 5187589679 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2006 | ||||||||
| LastUpdateDate: | 07/16/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 188143 | NY | Y | Allopathic & Osteopathic Physicians | Dermatology |
ID Information
| ID | Type | State | Issuer | Description | 040426007318 | 01 | NY | FIDELIS | OTHER | 198669 | 01 | NY | WELLCARE | OTHER | 5990570 | 01 | NY | AETNA | OTHER | 66684 | 01 | NY | GHI HMO | OTHER | 000913973005 | 01 | NY | BLUE SHIELD OF NORTHEASTE | OTHER | 01389660 | 05 | NY | MEDICAID | 2201134 | 01 | NY | GHI PPO | OTHER | 351802 | 01 | NY | MVP | OTHER | P00079435 | 01 | NY | RAILROAD MEDICARE | OTHER | 10026300 | 01 | NY | CAPITAL DISTRICT PHYSICIA | OTHER | 8P0171 | 01 | NY | EMPIRE BLUE CROSS BLUE SH | OTHER |