Provider Demographics
NPI:1235157041
Name:SCHULHOF, NATHALIE CASAU (MD)
Entity Type:Individual
Prefix:
First Name:NATHALIE
Middle Name:CASAU
Last Name:SCHULHOF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NATHALIE
Other - Middle Name:CATHERINE
Other - Last Name:CASAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2200 NORTHERN BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:GREENVALE
Mailing Address - State:NY
Mailing Address - Zip Code:11548-1220
Mailing Address - Country:US
Mailing Address - Phone:516-767-7771
Mailing Address - Fax:516-767-7765
Practice Address - Street 1:2200 NORTHERN BLVD STE 205
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1220
Practice Address - Country:US
Practice Address - Phone:516-767-7771
Practice Address - Fax:516-767-7765
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2018-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214012207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
112814003OtherTAX ID
NY02011690Medicaid