Provider Demographics
NPI:1548443880
Name:STEVEN SCHOLL, DPM
Entity type:Organization
Organization Name:STEVEN SCHOLL, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHOLL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-268-0660
Mailing Address - Street 1:20 CONTINENTAL AVE
Mailing Address - Street 2:1H
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5266
Mailing Address - Country:US
Mailing Address - Phone:718-268-0660
Mailing Address - Fax:
Practice Address - Street 1:20 CONTINENTAL AVE
Practice Address - Street 2:1H
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5266
Practice Address - Country:US
Practice Address - Phone:718-268-0660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY213E00000X
NY5347190001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5347190001Medicare NSC
NYT32173Medicare UPIN
NYG300013844Medicare PIN