Provider Demographics
NPI:1982033403
Name:SCHAAL, DOREEN (LPN)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:
Last Name:SCHAAL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2325
Mailing Address - Country:US
Mailing Address - Phone:631-413-8667
Mailing Address - Fax:631-509-1164
Practice Address - Street 1:60 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2325
Practice Address - Country:US
Practice Address - Phone:631-413-8667
Practice Address - Fax:631-509-1164
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY312174372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion