Provider Demographics
NPI:1023289139
Name:SCHOEN, GERTI (LP)
Entity type:Individual
Prefix:MS
First Name:GERTI
Middle Name:
Last Name:SCHOEN
Suffix:
Gender:F
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 N MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3255
Mailing Address - Country:US
Mailing Address - Phone:201-292-5294
Mailing Address - Fax:
Practice Address - Street 1:1 MILLIGAN PL
Practice Address - Street 2:OFFICE 3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8374
Practice Address - Country:US
Practice Address - Phone:201-292-5294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000000102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst