1962772343 NPI number — MS. SCHIMIKA SCHNYL RISHER LMSW

Table of content: MS. SCHIMIKA SCHNYL RISHER LMSW (NPI 1962772343)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962772343 NPI number — MS. SCHIMIKA SCHNYL RISHER LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RISHER
Provider First Name:
SCHIMIKA
Provider Middle Name:
SCHNYL
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RISHER
Provider Other First Name:
SCHIMIKA
Provider Other Middle Name:
SCHNYL
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1962772343
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/03/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
789 MACDONOUGH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11233-1657
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-414-4745
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
548 LINDEN BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11203-3052
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-282-0777
Provider Business Practice Location Address Fax Number:
718-282-2727
Provider Enumeration Date:
01/03/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  083098 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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