Provider Demographics
NPI:1992840243
Name:SCHEIBEL, LYNNE (PT)
Entity Type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:
Last Name:SCHEIBEL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:188 OLD STUMP RD
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:NY
Mailing Address - Zip Code:11719-9636
Mailing Address - Country:US
Mailing Address - Phone:631-286-0031
Mailing Address - Fax:
Practice Address - Street 1:188 OLD STUMP RD
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11719-9636
Practice Address - Country:US
Practice Address - Phone:631-286-0031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004527-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist