Healthcare Provider Details

I. General information

NPI: 1932192689
Provider Name (Legal Business Name): ALAN SHEINMAN D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2005
Last Update Date: 07/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 ATLANTIC AVE
LYNBROOK NY
11563-3567
US

IV. Provider business mailing address

215 ATLANTIC AVE
LYNBROOK NY
11563-3545
US

V. Phone/Fax

Practice location:
  • Phone: 516-599-5688
  • Fax: 516-599-5029
Mailing address:
  • Phone: 516-599-5688
  • Fax: 516-599-5029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberN003036
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: