Healthcare Provider Details

I. General information

NPI: 1972504587
Provider Name (Legal Business Name): MARCEL SCHEINMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2005
Last Update Date: 01/30/2008
Certification Date:
Deactivation Date: 03/22/2006
Reactivation Date: 03/28/2006

III. Provider practice location address

135 ROCKAWAY TPKE SUITE 108
LAWRENCE NY
11559-1023
US

IV. Provider business mailing address

135 ROCKAWAY TPKE SUITE 108
LAWRENCE NY
11559-1023
US

V. Phone/Fax

Practice location:
  • Phone: 516-239-1917
  • Fax:
Mailing address:
  • Phone: 516-239-1917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number210279
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: