Provider Demographics
NPI:1861644007
Name:SCHONBERG, ANGELA (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:
Last Name:SCHONBERG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 GRAMATAN AVE APT 1K
Mailing Address - Street 2:
Mailing Address - City:FLEETWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:10552-2922
Mailing Address - Country:US
Mailing Address - Phone:914-396-9618
Mailing Address - Fax:
Practice Address - Street 1:485 GRAMATAN AVE APT 1K
Practice Address - Street 2:
Practice Address - City:FLEETWOOD
Practice Address - State:NY
Practice Address - Zip Code:10552-2922
Practice Address - Country:US
Practice Address - Phone:914-396-9618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL021673225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist