Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 189323 | NY |
NPI | 1396882841 |
---|---|
Provider Name | Dr. Sharon Elyse Schoenholtz |
First Address | New York, NY 10035-1641 |
Second Address | New York, NY 10035-1641 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 30/11/2012 |