MEDICARE: KENDALL ELLEN SCHOENEKASE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	344161	NY

General Provider Information

NPI Number	:	1396203659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENDALL ELLEN SCHOENEKASE

Provider Business Mailing Address
First Line	:	745 SEVENTH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-6801
Country	:	US
Telephone Number	:	646-605-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	745 SEVENTH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-6801
Country	:	US
Telephone Number	:	646-605-3900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2019
Last Update Date	:	04/14/2023

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Directions to “ KENDALL ELLEN SCHOENEKASE ” Practice Location

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