Provider Demographics
NPI:1053168401
Name:SCHONFELD, TZIPA (MED)
Entity type:Individual
Prefix:
First Name:TZIPA
Middle Name:
Last Name:SCHONFELD
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14745 75TH RD APT 1B
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2908
Mailing Address - Country:US
Mailing Address - Phone:856-419-9676
Mailing Address - Fax:
Practice Address - Street 1:14745 75TH RD APT 1B
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2908
Practice Address - Country:US
Practice Address - Phone:856-419-9676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist