Provider Demographics
NPI:1285148007
Name:SCHUBERT, LAURA (DPT)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:
Last Name:SCHUBERT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:584 BROADWAY
Mailing Address - Street 2:SUITE 710
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-5242
Mailing Address - Country:US
Mailing Address - Phone:212-941-0503
Mailing Address - Fax:212-941-6195
Practice Address - Street 1:584 BROADWAY
Practice Address - Street 2:SUITE 710
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-5242
Practice Address - Country:US
Practice Address - Phone:212-941-0503
Practice Address - Fax:212-941-6195
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-01
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042406-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty