Provider Demographics
NPI:1750629820
Name:ROBERTSON, MAHARLIKA SCHOEN (LAC)
Entity Type:Individual
Prefix:MRS
First Name:MAHARLIKA
Middle Name:SCHOEN
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 7TH ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-3311
Mailing Address - Country:US
Mailing Address - Phone:718-406-6014
Mailing Address - Fax:347-294-4317
Practice Address - Street 1:1133 BROADWAY
Practice Address - Street 2:SUITE 1107
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7903
Practice Address - Country:US
Practice Address - Phone:917-309-4113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004923171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist