Provider Demographics
NPI:1982925434
Name:SCHULDER, SHARONA (LSW)
Entity Type:Individual
Prefix:MS
First Name:SHARONA
Middle Name:
Last Name:SCHULDER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3777 INDEPENDENCE AVE APT 3H
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1412
Mailing Address - Country:US
Mailing Address - Phone:718-874-3714
Mailing Address - Fax:
Practice Address - Street 1:3777 INDEPENDENCE AVE APT 3H
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1412
Practice Address - Country:US
Practice Address - Phone:718-874-3714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY67942791041S0200X
NJ44SL055353001041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool