Provider Demographics
NPI:1699749879
Name:SCHREIBER, WILLIAM D (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:D
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1001 W FAYETTE ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2859
Mailing Address - Country:US
Mailing Address - Phone:315-472-1488
Mailing Address - Fax:315-472-8060
Practice Address - Street 1:792 N MAIN ST
Practice Address - Street 2:STE 200A
Practice Address - City:N SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13212-1644
Practice Address - Country:US
Practice Address - Phone:315-458-8700
Practice Address - Fax:315-452-0411
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2008-05-12
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Provider Licenses
StateLicense IDTaxonomies
NY157079207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00268362Medicare PIN
NYD76930Medicare UPIN
NYRA8646Medicare PIN