MEDICARE: PENNY EVE STEINBERG AUD

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	231H00000X	Audiologist	003071	NY

General Provider Information

NPI Number	:	1669136289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PENNY EVE STEINBERG AUD

Provider Business Mailing Address
First Line	:	157 E 72ND ST APT 9C
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4316
Country	:	US
Telephone Number	:	516-880-4286
Fax Number	:

Provider Business Practice Location Address
First Line	:	3533 RIVERDALE AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10463-1829
Country	:	US
Telephone Number	:	516-880-4286
Fax Number	:

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

Provider Enumeration Date	:	10/29/2021
Last Update Date	:	10/29/2021

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