Provider Demographics
NPI:1225284235
Name:SCHULMAN, ARYEH L (DPM)
Entity Type:Individual
Prefix:DR
First Name:ARYEH
Middle Name:L
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 CORNAGA AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5002
Mailing Address - Country:US
Mailing Address - Phone:718-337-6345
Mailing Address - Fax:718-337-3229
Practice Address - Street 1:918 CORNAGA AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5002
Practice Address - Country:US
Practice Address - Phone:718-337-6345
Practice Address - Fax:718-337-3229
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-10
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006285213E00000X, 213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6321370001OtherDME PTAN