Provider Demographics
NPI:1104392976
Name:JENNIFER SCHOENFELD, D.O., P.C.
Entity Type:Organization
Organization Name:JENNIFER SCHOENFELD, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENFELD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:516-724-0488
Mailing Address - Street 1:669 COLONADE RD
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-3101
Mailing Address - Country:US
Mailing Address - Phone:516-724-0488
Mailing Address - Fax:347-602-4628
Practice Address - Street 1:669 COLONADE RD
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-3101
Practice Address - Country:US
Practice Address - Phone:516-724-0488
Practice Address - Fax:347-602-4628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-19
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty