MEDICARE: LYRIS ANN SCHONHOLZ MD

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	2085R0202X	Diagnostic Radiology Physician	1586921	NY

General Provider Information

NPI Number	:	1427069517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYRIS ANN SCHONHOLZ MD

Provider Business Mailing Address
First Line	:	488 MADISON AVENUE
Second Line	:	SUITE 1220
City	:	NEW YORK
State	:	NY
Zip	:	10024-5715
Country	:	US
Telephone Number	:	212-755-7656
Fax Number	:	212-688-9474

Provider Business Practice Location Address
First Line	:	488 MADISON AVE
Second Line	:	SUITE 1220
City	:	NEW YORK
State	:	NY
Zip	:	10022-5715
Country	:	US
Telephone Number	:	212-755-7656
Fax Number	:	212-688-9474

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

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/08/2007

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