Provider Demographics
NPI:1205369212
Name:SHEINBAUM, ALLY
Entity Type:Individual
Prefix:
First Name:ALLY
Middle Name:
Last Name:SHEINBAUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 E 29TH ST
Mailing Address - Street 2:APT 5C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8169
Mailing Address - Country:US
Mailing Address - Phone:516-884-8372
Mailing Address - Fax:
Practice Address - Street 1:145 E 29TH ST
Practice Address - Street 2:APT 5C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8169
Practice Address - Country:US
Practice Address - Phone:516-884-8372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator