Provider Demographics
NPI:1861416273
Name:SCHEIN, EILEEN G (DDS)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:G
Last Name:SCHEIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:EILEEN
Other - Middle Name:GOTTLIEB
Other - Last Name:SCHEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:524 CLUBHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1902
Mailing Address - Country:US
Mailing Address - Phone:516-374-7627
Mailing Address - Fax:
Practice Address - Street 1:7303 197 STREET
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11366
Practice Address - Country:US
Practice Address - Phone:516-374-7627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0435291223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics