Individual
DR. JEFFREY DAVID SCHILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 RICHMOND AVE, SUITE 208, STATEN ISLAND, NY 10314-1578
(718) 370-1001
(718) 370-0945
Mailing address
1550 RICHMOND AVE, SUITE 208, STATEN ISLAND, NY 10314-1578
(718) 370-1001
(718) 370-0945
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
145786
NY
207W00000X
Ophthalmology Physician
AS9339587
NJ
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
145786
NY
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
AS9339587
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01338967
—
NY
05
—
3785904
—
NJ
Enumeration date
08/12/2005
Last updated
04/09/2024
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