Healthcare Provider Details

I. General information

NPI: 1184018921
Provider Name (Legal Business Name): HANNAH SCHMIDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2015
Last Update Date: 03/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 OCEAN PKWY APT 3B
BROOKLYN NY
11218-1763
US

IV. Provider business mailing address

1425 AMSTERDAM AVE 3F
NEW YORK NY
10027-7454
US

V. Phone/Fax

Practice location:
  • Phone: 917-975-4081
  • Fax:
Mailing address:
  • Phone: 512-981-8563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number697667
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: