Healthcare Provider Details

I. General information

NPI: 1902081532
Provider Name (Legal Business Name): HARVEY SCHOENFELD B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2008
Last Update Date: 01/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1849 2ND AVE
NEW YORK NY
10128-3864
US

IV. Provider business mailing address

1849 2ND AVE
NEW YORK NY
10128-3864
US

V. Phone/Fax

Practice location:
  • Phone: 212-828-8664
  • Fax: 212-828-3740
Mailing address:
  • Phone: 212-828-8664
  • Fax: 212-828-3740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number023619-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number023619-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: