Provider Demographics
NPI:1588642243
Name:SCHOENBERG, LAURA GRAY (MDDO)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:GRAY
Last Name:SCHOENBERG
Suffix:
Gender:F
Credentials:MDDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 JERICHO TPKE
Mailing Address - Street 2:SCHOENBERG NEUROLOGY
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4720
Mailing Address - Country:US
Mailing Address - Phone:516-358-1444
Mailing Address - Fax:516-358-2390
Practice Address - Street 1:2037 JERICHO TPKE
Practice Address - Street 2:SCHOENBERG NEUROLOGY
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4720
Practice Address - Country:US
Practice Address - Phone:516-358-1444
Practice Address - Fax:516-358-2390
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206159204D00000X, 2084B0040X, 2084N0008X, 204R00000X, 2084A0401X, 2084A2900X, 2084S0012X, 2084V0102X, 2084N0400X, 2084P0005X, 2084P0015X, 2084N0600X, 2084P0301X, 2084S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular Medicine
No204R00000XAllopathic & Osteopathic PhysiciansElectrodiagnostic Medicine
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084A2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurocritical Care
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084V0102XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
No2084P0005XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurodevelopmental Disabilities
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084P0301XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBrain Injury Medicine
No2084S0010XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P919453OtherOXFORD
NY7676026OtherAETNA
NY130020669OtherRAILROAD MEDICARE
NY01906770Medicaid
P919453OtherOXFORD
NY00S241Medicare PIN