Provider Demographics
NPI:1427047653
Name:SCHEINER, DAVID M (DPM)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:M
Last Name:SCHEINER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2008 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-2811
Mailing Address - Country:US
Mailing Address - Phone:516-223-0148
Mailing Address - Fax:
Practice Address - Street 1:2008 GRAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2811
Practice Address - Country:US
Practice Address - Phone:516-223-0148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005259213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01945124Medicaid
NYU61783Medicare UPIN
NY01945124Medicaid
NY1276490001Medicare NSC