Provider Demographics
NPI:1538259635
Name:SCHATTMAN, GLENN L (MD)
Entity type:Individual
Prefix:
First Name:GLENN
Middle Name:L
Last Name:SCHATTMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1305 YORK AVE
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-5663
Mailing Address - Country:US
Mailing Address - Phone:646-962-3836
Mailing Address - Fax:646-962-0307
Practice Address - Street 1:1305 YORK AVE
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-5663
Practice Address - Country:US
Practice Address - Phone:646-962-3836
Practice Address - Fax:646-962-0307
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2013-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY186158207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY90F431Medicare ID - Type UnspecifiedMEDICARE
NYE95202Medicare UPIN