Provider Demographics
NPI:1558444075
Name:SCHOEN, ROSEANNE C (DPT)
Entity Type:Individual
Prefix:MRS
First Name:ROSEANNE
Middle Name:C
Last Name:SCHOEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:233 BROADWAY
Mailing Address - Street 2:SUITE 2060
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10279-0001
Mailing Address - Country:US
Mailing Address - Phone:212-233-9494
Mailing Address - Fax:212-233-9496
Practice Address - Street 1:233 BROADWAY
Practice Address - Street 2:SUITE 2060
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10279-0001
Practice Address - Country:US
Practice Address - Phone:212-233-9494
Practice Address - Fax:212-233-9496
Is Sole Proprietor?:No
Enumeration Date:2006-10-21
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0269851225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ3W9Y1Medicare PIN
NYQ22B91Medicare PIN