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NPI Code Detail

MEDICARE: DR. JACQUELINE SCHOMBER PSYD

MEDICARE: DR. JACQUELINE SCHOMBER PSYD
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
1103T00000XPsychologist022098NY
2103TH0004XHealth Psychologist022098NY
3103TC0700XClinical Psychologist022098NY

General Provider Information

NPI Number : 1538533344
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACQUELINE SCHOMBER PSYD
Provider Business Mailing Address
First Line : 275 BROADHOLLOW RD STE 120
Second Line :
City : MELVILLE
State : NY
Zip : 11747-4863
Country : US
Telephone Number : 845-279-5908
Fax Number :
Provider Business Practice Location Address
First Line : 275 BROADHOLLOW RD STE 120
Second Line :
City : MELVILLE
State : NY
Zip : 11747-4863
Country : US
Telephone Number : 845-279-5908
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2015
Last Update Date : 08/04/2025

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Directions to “ DR. JACQUELINE SCHOMBER PSYD” Practice Location

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