Individual
DR. KEITH A. SCHEINBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
999 MONTAUK HWY UNIT 3, SHIRLEY, NY 11967-2100
(631) 399-6992
(631) 399-8045
Mailing address
999 MONTAUK HWY UNIT 3, SHIRLEY, NY 11967-2100
(631) 399-6992
(631) 399-8045
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
191805-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191805-1
LICENSE
NY
Enumeration date
11/28/2006
Last updated
12/22/2009
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