MEDICARE: GAIL ANN SCHONFELD MD

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
1	2080A0000X	Pediatric Adolescent Medicine Physician	1443801	NY
2	208000000X	Pediatrics Physician	1443801	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649264888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GAIL ANN SCHONFELD MD

Provider Business Mailing Address
First Line	:	200 PANTIGO PL
Second Line	:	STE E
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-5920
Country	:	US
Telephone Number	:	631-324-8030
Fax Number	:	631-324-8032

Provider Business Practice Location Address
First Line	:	200 PANTIGO PL
Second Line	:	STE E
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-5920
Country	:	US
Telephone Number	:	631-324-8030
Fax Number	:	631-324-8032

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	10/23/2024

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Directions to “ GAIL ANN SCHONFELD MD” Practice Location

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