Provider Demographics
NPI:1053713388
Name:SCHOENFELD, YITZCHOK
Entity type:Individual
Prefix:
First Name:YITZCHOK
Middle Name:
Last Name:SCHOENFELD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:944 E 10TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3519
Mailing Address - Country:US
Mailing Address - Phone:718-376-0583
Mailing Address - Fax:
Practice Address - Street 1:129 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2644
Practice Address - Country:US
Practice Address - Phone:718-252-6333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist