Provider Demographics
NPI:1184060014
Name:SCHUBERT, SONDRA (CPNP)
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3211 ATLANTIC CIR
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8641
Mailing Address - Country:US
Mailing Address - Phone:516-446-3809
Mailing Address - Fax:239-228-5952
Practice Address - Street 1:935 NORTHERN BLVD STE 300
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5328
Practice Address - Country:US
Practice Address - Phone:516-466-5437
Practice Address - Fax:516-466-9081
Is Sole Proprietor?:No
Enumeration Date:2013-05-19
Last Update Date:2014-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380318-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics