Individual ProviderFrederick SchiavoneEmergency MedicineAllopathic & Osteopathic PhysiciansPractice AddressUniversity Hospital, L4, Stony Brook, NY 11794-0001(631) 444-2499PECOS EnrollmentBased on the most recent information from CMS, provider Frederick Schiavone does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1093743932Provider TypeIndividualFull NameSchiavone, FrederickTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/29/2006Last Updated7/8/2007Contact InformationPractice LocationPractice AddressUniversity Hospital, L4, Stony Brook, NY 11794-0001Phone(631) 444-2499FaxUnlisted FaxMailing LocationMailing AddressPO Box 1559, Stony Brook, NY 11790-0989Phone(631) 444-2499FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense166529New YorkProvider IdentifiersIDDescriptionIssuerID7373723DescriptionOtherIssuerAETNANew YorkID01278679DescriptionMedicaidIssuerUnlistedNew YorkID04F97DescriptionOtherIssuerEMPIRE BC.BSNew York