Provider Demographics
NPI:1992793996
Name:SCHECHT, STEVEN (DPM)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:SCHECHT
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21402 24TH AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2219
Mailing Address - Country:US
Mailing Address - Phone:718-423-5700
Mailing Address - Fax:718-423-5769
Practice Address - Street 1:21402 24TH AVE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2219
Practice Address - Country:US
Practice Address - Phone:718-423-5700
Practice Address - Fax:718-423-5769
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-12
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3024213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T31735Medicare UPIN
NY070712148Medicare ID - Type Unspecified