Provider Demographics
NPI:1841433463
Name:NORMAN Y SCHOENBERG MD PC
Entity Type:Organization
Organization Name:NORMAN Y SCHOENBERG MD PC
Other - Org Name:SPINE AND JOINT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RADIOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SCHOENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-375-1438
Mailing Address - Street 1:307 EAST 60TH STREET
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1505
Mailing Address - Country:US
Mailing Address - Phone:212-375-1438
Mailing Address - Fax:212-375-1442
Practice Address - Street 1:307 EAST 60TH STREET
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1505
Practice Address - Country:US
Practice Address - Phone:212-375-1438
Practice Address - Fax:212-375-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01191304Medicaid
NY01191304Medicaid
NYNS048F3320Medicare PIN
NY48F332Medicare PIN