Provider Demographics
NPI:1548697162
Name:SCHRIEBER, DAVID J (DPM)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:J
Last Name:SCHRIEBER
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 1:3003 NEW HYDE PARK RD
Mailing Address - Street 2:SUITE 312
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1206
Mailing Address - Country:US
Mailing Address - Phone:516-492-3515
Mailing Address - Fax:516-492-3516
Practice Address - Street 1:1206 W SHERMAN AVE BLDG 1
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-6911
Practice Address - Country:US
Practice Address - Phone:856-484-3080
Practice Address - Fax:856-497-5029
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN006841-1213EP1101X, 213ES0103X
NJ25MD00330000213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine