Provider Demographics
NPI:1215039011
Name:SCHIFF, PAUL K (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:K
Last Name:SCHIFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:PAUL
Other - Middle Name:K
Other - Last Name:SCHIFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:13 EDGEWOOD COURT
Mailing Address - Street 2:
Mailing Address - City:LIVINGTON MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:12758
Mailing Address - Country:US
Mailing Address - Phone:845-439-5743
Mailing Address - Fax:
Practice Address - Street 1:765-6 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:MILLER PLACE
Practice Address - State:NY
Practice Address - Zip Code:11764
Practice Address - Country:US
Practice Address - Phone:631-928-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027741122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist