Provider Demographics
NPI:1811051071
Name:SCHULMAN-MARCUS, FELICE (LCSW-R)
Entity type:Individual
Prefix:MRS
First Name:FELICE
Middle Name:
Last Name:SCHULMAN-MARCUS
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:749 DURHAM RD
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4604
Mailing Address - Country:US
Mailing Address - Phone:516-292-0976
Mailing Address - Fax:
Practice Address - Street 1:749 DURHAM RD
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-4604
Practice Address - Country:US
Practice Address - Phone:516-292-0976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO54177101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health