Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist | 009750-1 | NY |
NPI | 1770135394 |
---|---|
Provider Name | Dr. Joyce Barbara Schenkein |
First Address | New York, NY 10128-2554 |
Second Address | New York, NY 10128-2554 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2019 |
Last Update Date | 13/07/2019 |