Provider Demographics
NPI:1356301345
Name:SCHONFELD, MARK (OD)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:SCHONFELD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-4734
Mailing Address - Country:US
Mailing Address - Phone:914-937-3955
Mailing Address - Fax:914-937-0586
Practice Address - Street 1:511 BOSTON POST RD S.H. LAUFER
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-4749
Practice Address - Country:US
Practice Address - Phone:914-937-3955
Practice Address - Fax:914-937-0586
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0003036152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist