Provider Demographics
NPI:1518912872
Name:SCHOENFELD, BARTON (MD)
Entity Type:Individual
Prefix:
First Name:BARTON
Middle Name:
Last Name:SCHOENFELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 PROSPECT AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:12534-2907
Mailing Address - Country:US
Mailing Address - Phone:518-828-2565
Mailing Address - Fax:518-697-3403
Practice Address - Street 1:67 PROSPECT AVE STE 210
Practice Address - Street 2:SUITE 210
Practice Address - City:HUDSON
Practice Address - State:NY
Practice Address - Zip Code:12534-2913
Practice Address - Country:US
Practice Address - Phone:518-828-2565
Practice Address - Fax:518-697-3403
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1-135887207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
261763OtherWELLCARE
74546OtherGHI/HMO
000407226001OtherBS OF NENY
400163OtherMVP
NY00696828Medicaid
10074404OtherCDPHP
106388OtherGHI PPO
8066OtherUNITED HEALTHCARE
72B181OtherBC/BS
NYB18648Medicare UPIN
72B181OtherBC/BS
NY051P01Medicare ID - Type Unspecified
10074404OtherCDPHP
GAP00128592Medicare PIN