Individual
DR. IRENE AUDREY SCHULMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4355 147TH ST, FLUSHING, NY 11355-1736
(718) 762-0900
(718) 886-5659
Mailing address
110 HAUPPAUGE RD, COMMACK, NY 11725-4403
(631) 499-2642
(631) 588-4595
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
167342
NY
2085R0202X
Diagnostic Radiology Physician
Primary
167342
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01669061
—
NY
01
—
11355502
CAQH
NY
Enumeration date
06/14/2006
Last updated
06/20/2019
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