Healthcare Provider Details

I. General information

NPI: 1205042546
Provider Name (Legal Business Name): STEVEN S. SCHIEBERT D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1975 HYLAN BLVD SUITE 1
STATEN ISLAND NY
10306-3523
US

IV. Provider business mailing address

1975 HYLAN BLVD SUITE 1
STATEN ISLAND NY
10306-3523
US

V. Phone/Fax

Practice location:
  • Phone: 718-667-5400
  • Fax: 888-255-0370
Mailing address:
  • Phone: 718-667-5400
  • Fax: 888-255-0370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number00692
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: