Provider Demographics
NPI:1073645875
Name:SCHIEBEL, DAVID PAUL (M D)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:PAUL
Last Name:SCHIEBEL
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 E 94TH ST
Mailing Address - Street 2:OFFICE 1E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0773
Mailing Address - Country:US
Mailing Address - Phone:212-289-6511
Mailing Address - Fax:
Practice Address - Street 1:64 E 94TH ST
Practice Address - Street 2:OFFICE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0773
Practice Address - Country:US
Practice Address - Phone:212-289-6511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1282052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO8957Medicare UPIN
NY348731Medicare ID - Type Unspecified