Provider Demographics
NPI:1497292510
Name:SCHIEBER, AYELET (RD)
Entity Type:Individual
Prefix:
First Name:AYELET
Middle Name:
Last Name:SCHIEBER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:AYELET
Other - Middle Name:
Other - Last Name:GOLDHABER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 E 87TH ST APT 18D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-4838
Mailing Address - Country:US
Mailing Address - Phone:267-307-1153
Mailing Address - Fax:
Practice Address - Street 1:301 E 87TH ST APT 18D
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4838
Practice Address - Country:US
Practice Address - Phone:267-307-1153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-26
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1101178133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered