Healthcare Provider Details

I. General information

NPI: 1386872505
Provider Name (Legal Business Name): PATRICK MICHAEL SCHREIBER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2009
Last Update Date: 06/25/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 COMMUNITY DR OB/GYN OFFICE (ATTN: DIANE HUANG)
MANHASSET NY
11030-3816
US

IV. Provider business mailing address

19 BELINDA CT
SMITHTOWN NY
11787-5155
US

V. Phone/Fax

Practice location:
  • Phone: 516-562-4429
  • Fax:
Mailing address:
  • Phone: 631-974-0728
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number250608
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number250608
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: