Provider Demographics
NPI:1275558405
Name:SCHOTLAND, HELENA MIRIAM (MD)
Entity Type:Individual
Prefix:
First Name:HELENA
Middle Name:MIRIAM
Last Name:SCHOTLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:HELENA
Other - Middle Name:MIRIAM
Other - Last Name:WEISS
Other - Suffix:SR
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 GUSTAVE L LEVY PL # 1118
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6504
Mailing Address - Country:US
Mailing Address - Phone:212-241-0896
Mailing Address - Fax:
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-5900
Practice Address - Fax:212-241-8866
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046829L174400000X
MI4301097828207R00000X, 207RP1001X, 207RS0012X
NY181129207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No174400000XOther Service ProvidersSpecialist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA762079Medicare ID - Type UnspecifiedPROV#