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General NPI Number Information
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NPI Number | 1366837486
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Entity Type | Individual
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Provider Name | JOEL ARTHUR SCHOENBERG DO
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Gender | Male
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 06/08/2019
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Provider Practice Location Address
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Address Line | 3005 WATKINS RD
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City | HORSEHEADS
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State | NY
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Zip | 14845-1800
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Country | US
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Telephone | 607-739-8711
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Fax |
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Provider Business Mailing Address
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Address Line | 910 W WATER ST
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City | ELMIRA
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State | NY
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Zip | 14905-2317
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Country | US
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Telephone | 256-328-8917
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 295820
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 295820
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License Number State | NY
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