Healthcare Provider Details

I. General information

NPI: 1700239027
Provider Name (Legal Business Name): AVIGAYIL SCHREIBER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2016
Last Update Date: 12/06/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WATERS PL SUITE 110
BRONX NY
10461-2728
US

IV. Provider business mailing address

560 WHITE PLAINS RD SUITE 615
TARRYTOWN NY
10591-5113
US

V. Phone/Fax

Practice location:
  • Phone: 718-863-4366
  • Fax:
Mailing address:
  • Phone: 914-984-2534
  • Fax: 914-425-0480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number002667-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: