Provider Demographics
NPI:1912268947
Name:SCHATTNER, MARCY
Entity type:Individual
Prefix:
First Name:MARCY
Middle Name:
Last Name:SCHATTNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 SHEFFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704-5207
Mailing Address - Country:US
Mailing Address - Phone:516-428-8462
Mailing Address - Fax:
Practice Address - Street 1:89 SHEFFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704-5207
Practice Address - Country:US
Practice Address - Phone:516-428-8462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist