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NPI Code Detail

MEDICARE: DR. SANDRA PASCALE SCHOENBACH DMD

MEDICARE: DR. SANDRA PASCALE SCHOENBACH DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry049443NY

General Provider Information

NPI Number : 1366589111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDRA PASCALE SCHOENBACH DMD
Provider Business Mailing Address
First Line : 199 BON AIR AVE
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10804-3104
Country : US
Telephone Number : 914-740-3086
Fax Number :
Provider Business Practice Location Address
First Line : 12 OLD MAMARONECK RD
Second Line : SUITE 1C
City : WHITE PLAINS
State : NY
Zip : 10605-2010
Country : US
Telephone Number : 914-948-7177
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2007
Last Update Date : 07/08/2007

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