Provider Demographics
NPI:1689935827
Name:SCHUBERT, REBEKHA (TSHH)
Entity Type:Individual
Prefix:
First Name:REBEKHA
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8027 PARK LN
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1020
Mailing Address - Country:US
Mailing Address - Phone:917-548-4410
Mailing Address - Fax:
Practice Address - Street 1:8027 PARK LN
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1020
Practice Address - Country:US
Practice Address - Phone:917-548-4410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist