Provider Demographics
NPI:1568018869
Name:SCHILL, JEFFREY JR
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:SCHILL
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CAMBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-2402
Mailing Address - Country:US
Mailing Address - Phone:480-734-5810
Mailing Address - Fax:
Practice Address - Street 1:106 CAMBRIDGE PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-2402
Practice Address - Country:US
Practice Address - Phone:480-734-5810
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health