Healthcare Provider Details

I. General information

NPI: 1326942939
Provider Name (Legal Business Name): ALEX SCHEUR
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 NORTHERN BLVD STE 220
GREENVALE NY
11548-1220
US

IV. Provider business mailing address

2200 NORTHERN BLVD STE 200
GREENVALE NY
11548-1220
US

V. Phone/Fax

Practice location:
  • Phone: 516-302-8530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: