Provider Demographics
NPI:1124537535
Name:SCHOOMER, ELANOR (CNM)
Entity Type:Individual
Prefix:
First Name:ELANOR
Middle Name:
Last Name:SCHOOMER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4 SKYLINE DR STE 7
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NY
Mailing Address - Zip Code:10532-2192
Mailing Address - Country:US
Mailing Address - Phone:914-467-7340
Mailing Address - Fax:914-418-1040
Practice Address - Street 1:175 TARRYTOWN RD
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10607-1607
Practice Address - Country:US
Practice Address - Phone:914-761-6566
Practice Address - Fax:914-948-5533
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-28
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF001807367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife