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Individual

DR. MICHAEL SCHESSEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
622 W 168TH ST STE VC2260, NEW YORK, NY 10032-3720
(212) 305-5069
Mailing address
622 W 168TH ST STE VC2260, NEW YORK, NY 10032-3720
(212) 305-5069

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
209352
NY
208D00000X
General Practice Physician
209352
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01889041
NY
01
082ZF1
EMPIRE BCBS
NY
01
2336729
AETNA
NY
Enumeration date
09/20/2006
Last updated
07/11/2023
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