MEDICARE: DR. LAURA GRAY SCHOENBERG M.D.D.O

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	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	206159	NY
2	2084B0040X	Behavioral Neurology & Neuropsychiatry Physician	206159	NY
3	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician	206159	NY
4	204R00000X	Electrodiagnostic Medicine Physician	206159	NY
5	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	206159	NY
6	2084A2900X	Neurocritical Care Physician	206159	NY
7	2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	206159	NY
8	2084V0102X	Vascular Neurology Physician	206159	NY
9	2084N0400X	Neurology Physician	206159	NY
10	2084P0005X	Neurodevelopmental Disabilities Physician	206159	NY
11	2084P0015X	Psychosomatic Medicine Physician	206159	NY
12	2084N0600X	Clinical Neurophysiology Physician	206159	NY
13	2084P0301X	Brain Injury Medicine (Psychiatry & Neurology) Physician	206159	NY
14	2084S0010X	Sports Medicine (Psychiatry & Neurology) Physician	206159	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	130020669	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P919453	OTHER		OXFORD
2	7676026	OTHER	NY	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588642243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA GRAY SCHOENBERG M.D.D.O

Provider Business Mailing Address
First Line	:	2037 JERICHO TPKE
Second Line	:	SCHOENBERG NEUROLOGY
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-4720
Country	:	US
Telephone Number	:	516-358-1444
Fax Number	:	516-358-2390

Provider Business Practice Location Address
First Line	:	2037 JERICHO TPKE
Second Line	:	SCHOENBERG NEUROLOGY
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-4720
Country	:	US
Telephone Number	:	516-358-1444
Fax Number	:	516-358-2390

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	10/04/2019

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