Healthcare Provider Details

I. General information

NPI: 1184922445
Provider Name (Legal Business Name): YEHUDA JOSEPH SCHONFELD FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2011
Last Update Date: 09/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1762 E 23RD ST
BROOKLYN NY
11229-1521
US

IV. Provider business mailing address

1702 AVENUE O
BROOKLYN NY
11230-6714
US

V. Phone/Fax

Practice location:
  • Phone: 718-490-1887
  • Fax:
Mailing address:
  • Phone: 718-490-1887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number632868
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF340261-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: