Provider Demographics
NPI:1114693975
Name:SCHREIBER, ZALI (MSED)
Entity Type:Individual
Prefix:MISS
First Name:ZALI
Middle Name:
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PROSPERITY DR
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-2700
Mailing Address - Country:US
Mailing Address - Phone:347-609-8777
Mailing Address - Fax:
Practice Address - Street 1:1 PROSPERITY DR
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-2700
Practice Address - Country:US
Practice Address - Phone:347-609-8777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3945992174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist