Provider Demographics
NPI:1205042546
Name:SCHIEBERT, STEVEN S (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:S
Last Name:SCHIEBERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 HYLAN BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-3523
Mailing Address - Country:US
Mailing Address - Phone:718-667-5400
Mailing Address - Fax:888-255-0370
Practice Address - Street 1:1975 HYLAN BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-3523
Practice Address - Country:US
Practice Address - Phone:718-667-5400
Practice Address - Fax:888-255-0370
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2014-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI00692207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
RISS906601Medicaid
RISS906601Medicaid