Provider Demographics
NPI:1669532487
Name:SCHNUR, JULIE BETH (PHD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:BETH
Last Name:SCHNUR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21620 68TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2605
Mailing Address - Country:US
Mailing Address - Phone:718-229-6714
Mailing Address - Fax:212-849-2564
Practice Address - Street 1:1425 MADISON AVE # 1130
Practice Address - Street 2:MOUNT SINAI SCHOOL OF MEDICINE, DEPT. ONCOLOGICAL. SCI.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6514
Practice Address - Country:US
Practice Address - Phone:212-659-5644
Practice Address - Fax:212-849-2564
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016083-1103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical