Provider Demographics
NPI:1992878904
Name:SCHECKNER, JOEL HARRIS
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:HARRIS
Last Name:SCHECKNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1983 MARCUS AVE
Mailing Address - Street 2:SUITE E120
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1016
Mailing Address - Country:US
Mailing Address - Phone:516-326-8822
Mailing Address - Fax:516-326-2583
Practice Address - Street 1:1983 MARCUS AVE
Practice Address - Street 2:SUITE E120
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1016
Practice Address - Country:US
Practice Address - Phone:516-326-8822
Practice Address - Fax:516-326-2583
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT003691152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0171100001Medicare NSC