Healthcare Provider Details

I. General information

NPI: 1679580112
Provider Name (Legal Business Name): ALAN B SHEINER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 EAST 77TH STREET SUITE P-3
NEW YORK NY
10021-2577
US

IV. Provider business mailing address

500 EAST 77TH STREET SUITE P-3
NEW YORK NY
10021-2577
US

V. Phone/Fax

Practice location:
  • Phone: 212-249-2211
  • Fax: 212-327-0733
Mailing address:
  • Phone: 212-249-2211
  • Fax: 212-327-0733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number031921
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: