Healthcare Provider Details

I. General information

NPI: 1437627510
Provider Name (Legal Business Name): DAVID B SCHULMAN LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 11/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 SOUTHDOWN RD
HUNTINGTON NY
11743-2551
US

IV. Provider business mailing address

57 SOUTHDOWN RD
HUNTINGTON NY
11743-2551
US

V. Phone/Fax

Practice location:
  • Phone: 631-673-3027
  • Fax: 631-910-0363
Mailing address:
  • Phone: 631-673-3027
  • Fax: 631-910-0363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number002996
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: