Provider Demographics
NPI:1417295536
Name:SCHWEBER, NEAL (LP)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:
Last Name:SCHWEBER
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 LINDEN LN
Mailing Address - Street 2:
Mailing Address - City:GLEN HEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11545-2711
Mailing Address - Country:US
Mailing Address - Phone:516-972-6554
Mailing Address - Fax:
Practice Address - Street 1:41 51 EAST 11TH ST. 4TH FLOOR
Practice Address - Street 2:WASHINGTON SQUARE INSTITIUTE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-477-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000889102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst