Provider Demographics
NPI:1629218615
Name:NORMAN H SCHULMAN MD PC
Entity Type:Organization
Organization Name:NORMAN H SCHULMAN MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SCHULMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-861-5004
Mailing Address - Street 1:308 E 79TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-0998
Mailing Address - Country:US
Mailing Address - Phone:212-861-5004
Mailing Address - Fax:212-861-3065
Practice Address - Street 1:308 E 79TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0998
Practice Address - Country:US
Practice Address - Phone:212-861-5004
Practice Address - Fax:212-861-3065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-03
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097296261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00163759Medicaid
588511Medicare Oscar/Certification
NY588511Medicare PIN
NYB16995Medicare UPIN