MEDICARE: SYDNEY SCHOTTENFELD M.A.

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	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1558883173
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYDNEY SCHOTTENFELD M.A.

Provider Business Mailing Address
First Line	:	25 CHESTNUT LN
Second Line	:
City	:	WOODBURY
State	:	NY
Zip	:	11797-1912
Country	:	US
Telephone Number	:	516-220-8755
Fax Number	:

Provider Business Practice Location Address
First Line	:	351 W 18TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10011-4402
Country	:	US
Telephone Number	:	212-929-4433
Fax Number	:

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

Provider Enumeration Date	:	07/14/2017
Last Update Date	:	09/29/2021

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Directions to “ SYDNEY SCHOTTENFELD M.A.” Practice Location

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