Provider Demographics
NPI:1487679924
Name:SCHEINER, CLIFFORD J (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:J
Last Name:SCHEINER
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 LINDEN BLVD
Mailing Address - Street 2:#B2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-3576
Mailing Address - Country:US
Mailing Address - Phone:718-469-1089
Mailing Address - Fax:
Practice Address - Street 1:275 LINDEN BLVD
Practice Address - Street 2:#B2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-3576
Practice Address - Country:US
Practice Address - Phone:718-469-1089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60-131648207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine