Provider Demographics
NPI:1972504587
Name:SCHEINMAN, MARCEL (MD)
Entity Type:Individual
Prefix:
First Name:MARCEL
Middle Name:
Last Name:SCHEINMAN
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 1:135 ROCKAWAY TPKE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1023
Mailing Address - Country:US
Mailing Address - Phone:516-239-1917
Mailing Address - Fax:
Practice Address - Street 1:135 ROCKAWAY TPKE
Practice Address - Street 2:SUITE 108
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1023
Practice Address - Country:US
Practice Address - Phone:516-239-1917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-04
Last Update Date:2008-01-30
Deactivation Date:2006-03-22
Deactivation Code:
Reactivation Date:2006-03-28
Provider Licenses
StateLicense IDTaxonomies
NY210279208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00386012OtherMC RR
H82628Medicare UPIN