Provider Demographics
NPI:1265622518
Name:SCHULER, BETTINA N (LAC)
Entity type:Individual
Prefix:
First Name:BETTINA
Middle Name:N
Last Name:SCHULER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2537
Mailing Address - Street 2:
Mailing Address - City:MONTAUK
Mailing Address - State:NY
Mailing Address - Zip Code:11954-0930
Mailing Address - Country:US
Mailing Address - Phone:631-255-9225
Mailing Address - Fax:631-668-6649
Practice Address - Street 1:19 WILLOW LN
Practice Address - Street 2:
Practice Address - City:MONTAUK
Practice Address - State:NY
Practice Address - Zip Code:11954
Practice Address - Country:US
Practice Address - Phone:631-255-9225
Practice Address - Fax:631-668-6649
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003190171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist