1649594110 NPI number — MISS ALEXANDRA DENECHAUD SCHAUMBER LCSW

Table of content: MISS ALEXANDRA DENECHAUD SCHAUMBER LCSW (NPI 1649594110)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649594110 NPI number — MISS ALEXANDRA DENECHAUD SCHAUMBER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHAUMBER
Provider First Name:
ALEXANDRA
Provider Middle Name:
DENECHAUD
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1649594110
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
65 BROADWAY
Provider Second Line Business Mailing Address:
SUITE 721
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10006-2503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-620-8603
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 W 23RD ST
Provider Second Line Business Practice Location Address:
9TH FLOOR
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10010-5205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-620-8603
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2010

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: 1041C0700X , with the licence number:  080726-1 , 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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