Healthcare Provider Details

I. General information

NPI: 1710394796
Provider Name (Legal Business Name): HELAINE SCHONFELD B.S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 07/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1794 RICHMOND RD
STATEN ISLAND NY
10306-2556
US

IV. Provider business mailing address

10 ULLMAN TER
MONSEY NY
10952-5118
US

V. Phone/Fax

Practice location:
  • Phone: 718-979-3852
  • Fax: 917-831-3357
Mailing address:
  • Phone: 845-290-1547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: