Provider Demographics
NPI:1316443138
Name:DAVID SCHATZKAMER, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Entity type:Organization
Organization Name:DAVID SCHATZKAMER, LICENSED MENTAL HEALTH COUNSELOR, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHATZKAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-715-9384
Mailing Address - Street 1:4809 AVENUE N STE 363
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3711
Mailing Address - Country:US
Mailing Address - Phone:718-715-9402
Mailing Address - Fax:347-704-8407
Practice Address - Street 1:2607 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-4640
Practice Address - Country:US
Practice Address - Phone:718-715-9384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-02
Last Update Date:2018-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005651101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty