Healthcare Provider Details

I. General information

NPI: 1699724534
Provider Name (Legal Business Name): ALAN SCHEINBACH DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 03/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 HICKSVILLE RD SUITE 104
SEAFORD NY
11783-1300
US

IV. Provider business mailing address

850 HICKSVILLE RD STE 104
SEAFORD NY
11783-1300
US

V. Phone/Fax

Practice location:
  • Phone: 516-798-0141
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number152184
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: