Provider Demographics
NPI:1679580112
Name:SHEINER, ALAN B (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:SHEINER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 EAST 77TH STREET
Mailing Address - Street 2:SUITE P-3
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2577
Mailing Address - Country:US
Mailing Address - Phone:212-249-2211
Mailing Address - Fax:212-327-0733
Practice Address - Street 1:500 EAST 77TH STREET
Practice Address - Street 2:SUITE P-3
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2577
Practice Address - Country:US
Practice Address - Phone:212-249-2211
Practice Address - Fax:212-327-0733
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0319211223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT49921Medicare UPIN
NYD6C101Medicare ID - Type UnspecifiedMEDICARE