Provider Demographics
NPI:1083374490
Name:SCHOENBERG, DOVID SIMCHA
Entity Type:Individual
Prefix:MR
First Name:DOVID
Middle Name:SIMCHA
Last Name:SCHOENBERG
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 1:131 BENNETT AVE APT 61B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-2354
Mailing Address - Country:US
Mailing Address - Phone:917-232-4301
Mailing Address - Fax:
Practice Address - Street 1:131 BENNETT AVE APT 61B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-2354
Practice Address - Country:US
Practice Address - Phone:917-232-4301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-27
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program