Provider Demographics
NPI:1255457974
Name:SCHREIBER, STUART I (DDS)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:I
Last Name:SCHREIBER
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 1:1041 MAGNOLIA PL
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1120
Mailing Address - Country:US
Mailing Address - Phone:516-374-6688
Mailing Address - Fax:516-374-0160
Practice Address - Street 1:42 BROADWAY
Practice Address - Street 2:SUITE 1515
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-1617
Practice Address - Country:US
Practice Address - Phone:212-269-6655
Practice Address - Fax:212-269-2247
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice