Provider Demographics
NPI:1952300501
Name:SCHULMAN, WALTER B (MD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:B
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:211 HARBOR HILL RD
Mailing Address - Street 2:
Mailing Address - City:EAST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2326
Mailing Address - Country:US
Mailing Address - Phone:516-625-8634
Mailing Address - Fax:
Practice Address - Street 1:15 GLEN ST
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2782
Practice Address - Country:US
Practice Address - Phone:516-759-0560
Practice Address - Fax:516-676-6008
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-16
Last Update Date:2013-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY092909207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP811039OtherOXFORD
NY47377OtherEMPIRE BLUE CROSS
NYB15050Medicare UPIN