Provider Demographics
NPI:1659307734
Name:SCHREIBER, MICHAEL E (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:E
Last Name:SCHREIBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 N BROADWAY
Mailing Address - Street 2:STE 2
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1329
Mailing Address - Country:US
Mailing Address - Phone:914-423-8517
Mailing Address - Fax:914-965-1310
Practice Address - Street 1:1034 N BROADWAY
Practice Address - Street 2:STE 2
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1329
Practice Address - Country:US
Practice Address - Phone:914-423-8517
Practice Address - Fax:914-965-1310
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2016-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120565207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00313768Medicaid
NY34342AA521Medicare PIN
NY343421Medicare PIN
NYC08872Medicare UPIN