Individual
DR. JACK CHARLES SCHOENHOLTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 ORIENTA AVE, MAMARONECK, NY 10543-3936
(914) 698-4332
(914) 698-0184
Mailing address
360 ORIENTA AVE, MAMARONECK, NY 10543-3936
(914) 698-4332
(914) 698-0184
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
094714-2
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
094714-2
NEW YORK STATE MEDICAL LICENSE NUMBER
NY
Enumeration date
10/03/2012
Last updated
10/03/2012
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