Doctor Name: | DR. JOSEPH SCHUTZ |
NPI Number: | 1760769798 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSY. D. |
License Number: | 014283 |
Business Practice Address: | 21 Chestnut St Greenvale, NY - 115481104 |
Business Phone Number: | 5166294558 |
Business Fax Number: | 5166294567 |
Mailing Address: | 21 Chestnut St, GREENVALE |
State: | NY |
Postal Code: | 115481104 |
Phone Number: | 5166294558 |
Fax Number: | 5166294567 |
NPI Enumeration Date: | 11/04/2011 |
NPI Last Update Date: | 11/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | 014283 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |