Provider Demographics
NPI:1841202694
Name:SCHEINBAUM, BEATRICE ILA (PHD)
Entity Type:Individual
Prefix:MS
First Name:BEATRICE
Middle Name:ILA
Last Name:SCHEINBAUM
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:BEATRICE
Other - Middle Name:ILA
Other - Last Name:MANNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:311 WEST 24TH ST
Mailing Address - Street 2:APT 7D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011
Mailing Address - Country:US
Mailing Address - Phone:212-741-7419
Mailing Address - Fax:212-741-7419
Practice Address - Street 1:311 WEST 24TH ST
Practice Address - Street 2:APT 7D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011
Practice Address - Country:US
Practice Address - Phone:212-741-7419
Practice Address - Fax:212-741-7419
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004775103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV30891Medicare ID - Type Unspecified