MEDICARE: MRS. BAILA L STEINMAN OTR

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	225X00000X	Occupational Therapist	012593	NY
2	225XP0200X	Pediatric Occupational Therapist	012593	NY

General Provider Information

NPI Number	:	1548579865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BAILA L STEINMAN OTR

Provider Business Mailing Address
First Line	:	1428 E 27TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-5309
Country	:	US
Telephone Number	:	718-951-1964
Fax Number	:	718-253-9439

Provider Business Practice Location Address
First Line	:	1428 E 27TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11210-5309
Country	:	US
Telephone Number	:	718-951-1964
Fax Number	:	718-253-9439

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

Provider Enumeration Date	:	10/04/2010
Last Update Date	:	10/04/2010

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