Basic Information
| Provider Information | |||||||||
| NPI: | 1932698420 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | STIMSON P SCHANTZ MD PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 2625 | ||||||||
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| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100098925 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3916 PRINCE ST STE 152 | ||||||||
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| City: | FLUSHING | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11354 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7183537701 | ||||||||
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| ProviderEnumerationDate: | 05/09/2018 | ||||||||
| LastUpdateDate: | 05/23/2018 | ||||||||
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| AuthorizedOfficialLastName: | LAM | ||||||||
| AuthorizedOfficialFirstName: | EMILY | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING AND CREDENTIALING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9142220828 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Y00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Otolaryngology |
No ID Information.