Provider Demographics
NPI:1164066288
Name:SCHMOOKLER, ADELE
Entity Type:Individual
Prefix:MRS
First Name:ADELE
Middle Name:
Last Name:SCHMOOKLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 E 36TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3416
Mailing Address - Country:US
Mailing Address - Phone:917-821-7089
Mailing Address - Fax:
Practice Address - Street 1:1518 E 36TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3416
Practice Address - Country:US
Practice Address - Phone:917-821-7089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-31
Last Update Date:2019-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency