Healthcare Provider Details

I. General information

NPI: 1811180268
Provider Name (Legal Business Name): PAMELA J SCHOENBERG DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2007
Last Update Date: 08/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 SABBATH DAY HILL RD
SOUTH SALEM NY
10590-1507
US

IV. Provider business mailing address

32 SABBATH DAY HILL RD
SOUTH SALEM NY
10590-1507
US

V. Phone/Fax

Practice location:
  • Phone: 914-763-3082
  • Fax:
Mailing address:
  • Phone: 914-763-3082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number052190
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: