Provider Demographics
NPI:1164501250
Name:SCHNUR, DAVID BENJAMIN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BENJAMIN
Last Name:SCHNUR
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 1:395 GRAND ST
Mailing Address - Street 2:JERSEY CITY MEDICAL CENTER DEPARTMENT OF PSYCHIATRY
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4238
Mailing Address - Country:US
Mailing Address - Phone:201-915-2464
Mailing Address - Fax:201-369-6301
Practice Address - Street 1:395 GRAND ST
Practice Address - Street 2:JERSEY CITY MEDICAL CENTER DEPARTMENT OF PSYCHIATRY
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4238
Practice Address - Country:US
Practice Address - Phone:201-915-2464
Practice Address - Fax:201-369-6301
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0733432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F37169Medicare UPIN