MEDICARE: ALEXANDRA GABRIELLE SCHIEBER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS018336	PA
2	207Q00000X	Family Medicine Physician	76326	CT
3	207Q00000X	Family Medicine Physician	310339	NY

General Provider Information

NPI Number	:	1235578303
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA GABRIELLE SCHIEBER D.O.

Provider Business Mailing Address
First Line	:	40 SUNSHINE COTTAGE RD
Second Line	:
City	:	VALHALLA
State	:	NY
Zip	:	10595-1524
Country	:	US
Telephone Number	:	914-828-0435
Fax Number	:	914-745-0899

Provider Business Practice Location Address
First Line	:	28 EAST AVE
Second Line	:
City	:	NEW CANAAN
State	:	CT
Zip	:	06840-5516
Country	:	US
Telephone Number	:	203-855-3757
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2013
Last Update Date	:	11/09/2023

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