Provider Demographics
NPI:1558621516
Name:SCHNEIDER, ELIZABETH PEARL (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:PEARL
Last Name:SCHNEIDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 E 56TH ST
Mailing Address - Street 2:PHA
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2412
Mailing Address - Country:US
Mailing Address - Phone:516-659-9769
Mailing Address - Fax:
Practice Address - Street 1:405 E 56TH ST
Practice Address - Street 2:PHA
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2412
Practice Address - Country:US
Practice Address - Phone:516-659-9769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY142991207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine