Provider Demographics
NPI:1235955949
Name:SCHROFF, SHMUEL
Entity type:Individual
Prefix:
First Name:SHMUEL
Middle Name:
Last Name:SCHROFF
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:156 BEACH 9TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5600
Mailing Address - Country:US
Mailing Address - Phone:718-686-3149
Mailing Address - Fax:718-686-4149
Practice Address - Street 1:156 BEACH 9TH ST STE C
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5600
Practice Address - Country:US
Practice Address - Phone:718-686-3149
Practice Address - Fax:718-686-4149
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker