Provider Demographics
NPI:1083799852
Name:SCHUBART, ULRICH K (MD)
Entity Type:Individual
Prefix:
First Name:ULRICH
Middle Name:K
Last Name:SCHUBART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 W 36TH ST
Mailing Address - Street 2:APT. 15F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-7541
Mailing Address - Country:US
Mailing Address - Phone:718-405-8260
Mailing Address - Fax:718-405-8278
Practice Address - Street 1:MONTEFIORE MEDICAL PARK
Practice Address - Street 2:1575 BLONDELL AVENUE
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120107207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism