Provider Demographics
NPI:1699214700
Name:SCHUBERT, ALLISON
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1178 WARBURTON AVE
Mailing Address - Street 2:APT 2
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1058
Mailing Address - Country:US
Mailing Address - Phone:347-678-8814
Mailing Address - Fax:
Practice Address - Street 1:1178 WARBURTON AVE
Practice Address - Street 2:APT 2
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1058
Practice Address - Country:US
Practice Address - Phone:347-678-8814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021248225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics