Provider Demographics
NPI:1811974785
Name:SCHOENEMAN, MORRIS JACOB (MD)
Entity type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:JACOB
Last Name:SCHOENEMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:206 W ST
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543
Mailing Address - Country:US
Mailing Address - Phone:914-381-5025
Mailing Address - Fax:718-270-1786
Practice Address - Street 1:445 CLARKSON AVE
Practice Address - Street 2:BOX 49
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203
Practice Address - Country:US
Practice Address - Phone:718-270-1626
Practice Address - Fax:718-270-1786
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2013-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1148642080P0210X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B80176Medicare UPIN