Healthcare Provider Details

I. General information

NPI: 1467387696
Provider Name (Legal Business Name): RAFAELA IRO SCHIZA PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 BROADWAY RM 1510
NEW YORK NY
10018-3368
US

IV. Provider business mailing address

1430 BROADWAY RM 1510
NEW YORK NY
10018-3368
US

V. Phone/Fax

Practice location:
  • Phone: 347-786-9802
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberP139119
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: