Healthcare Provider Details

I. General information

NPI: 1992973176
Provider Name (Legal Business Name): DAVID E SHEINKOPF DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 03/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MADISON AVE 28TH FLOOR
NEW YORK NY
10022-5403
US

IV. Provider business mailing address

515 MADISON AVE 28TH FLOOR
NEW YORK NY
10022-5403
US

V. Phone/Fax

Practice location:
  • Phone: 212-765-5030
  • Fax: 212-765-5041
Mailing address:
  • Phone: 212-765-5030
  • Fax: 212-765-5041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number029583
License Number StateNY

VIII. Authorized Official

Name: DR. DAVID E SHEINKOPF
Title or Position: MANAGER
Credential: DDS
Phone: 212-765-5030