Provider Demographics
NPI:1932192689
Name:SHEINMAN, ALAN (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:
Last Name:SHEINMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-3545
Mailing Address - Country:US
Mailing Address - Phone:516-599-5688
Mailing Address - Fax:516-599-5029
Practice Address - Street 1:215 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-3567
Practice Address - Country:US
Practice Address - Phone:516-599-5688
Practice Address - Fax:516-599-5029
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-29
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN003036213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00426164Medicaid
NY00426164Medicaid
NYT32216Medicare UPIN