Provider Demographics
NPI:1356344113
Name:SCHABES, GEORGE A (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:A
Last Name:SCHABES
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:
Other - Last Name:SCHABES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2035 LAKEVILLE RD
Mailing Address - Street 2:STE 204
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1661
Mailing Address - Country:US
Mailing Address - Phone:516-437-2666
Mailing Address - Fax:516-358-6954
Practice Address - Street 1:2035 LAKEVILLE RD
Practice Address - Street 2:STE 204
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1661
Practice Address - Country:US
Practice Address - Phone:516-437-2666
Practice Address - Fax:516-358-6954
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0316041223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00396805Medicaid
NYT49924Medicare UPIN
NY00396805Medicaid