Provider Demographics
NPI:1215245972
Name:WILNER, JUDY SCHAER
Entity type:Individual
Prefix:
First Name:JUDY
Middle Name:SCHAER
Last Name:WILNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E 86TH ST
Mailing Address - Street 2:APT. 7G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-6403
Mailing Address - Country:US
Mailing Address - Phone:212-722-1875
Mailing Address - Fax:212-996-8198
Practice Address - Street 1:401 E 86TH ST
Practice Address - Street 2:APT. 7G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-6403
Practice Address - Country:US
Practice Address - Phone:212-722-1875
Practice Address - Fax:212-996-8198
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2522225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist