Provider Demographics
NPI:1184922445
Name:SCHONFELD, YEHUDA JOSEPH (FNP-BC)
Entity type:Individual
Prefix:MR
First Name:YEHUDA
Middle Name:JOSEPH
Last Name:SCHONFELD
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 AVENUE O
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6714
Mailing Address - Country:US
Mailing Address - Phone:718-490-1887
Mailing Address - Fax:
Practice Address - Street 1:1762 E 23RD ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1521
Practice Address - Country:US
Practice Address - Phone:718-490-1887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-09
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY632868163WH0200X
NYF340261-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WH0200XNursing Service ProvidersRegistered NurseHome Health