Provider Demographics
NPI:1699776948
Name:SCHULMAN, LARRY L (MD)
Entity type:Individual
Prefix:DR
First Name:LARRY
Middle Name:L
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 FORT WASHINGTON AVE
Mailing Address - Street 2:SUITE 3-312
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3729
Mailing Address - Country:US
Mailing Address - Phone:212-305-5346
Mailing Address - Fax:212-342-5647
Practice Address - Street 1:161 FORT WASHINGTON AVE
Practice Address - Street 2:SUITE 3-312
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3729
Practice Address - Country:US
Practice Address - Phone:212-305-5346
Practice Address - Fax:212-342-5647
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139103207R00000X, 207RP1001X
NJ49892207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00785740Medicaid
NY00785740Medicaid
B20291Medicare UPIN