Healthcare Provider Details

I. General information

NPI: 1083887368
Provider Name (Legal Business Name): SUSAN RUTH SCHULMAN DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 BELLMORE AVE
N BELLMORE NY
11710-5526
US

IV. Provider business mailing address

1651 BELLMORE AVE
N BELLMORE NY
11710-5526
US

V. Phone/Fax

Practice location:
  • Phone: 516-781-2152
  • Fax:
Mailing address:
  • Phone: 516-781-2152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX004880
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: