Provider Demographics
NPI:1205281060
Name:SCHOENWEISS, STACEY ELIZABETH (LPN)
Entity type:Individual
Prefix:MS
First Name:STACEY
Middle Name:ELIZABETH
Last Name:SCHOENWEISS
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 1:416 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-2342
Mailing Address - Country:US
Mailing Address - Phone:917-734-5714
Mailing Address - Fax:
Practice Address - Street 1:200 CHAMBERS ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10007-1131
Practice Address - Country:US
Practice Address - Phone:212-962-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY294833164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse