MEDICARE: MOSHE STEINMETZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	S.1900911-TRNE	OH

General Provider Information

NPI Number	:	1487204848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOSHE STEINMETZ

Provider Business Mailing Address
First Line	:	3620 BENDEMEER RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-1917
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3620 BENDEMEER RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44118-1917
Country	:	US
Telephone Number	:	845-521-4234
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2019
Last Update Date	:	09/18/2019

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Directions to “ MOSHE STEINMETZ ” Practice Location

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