MEDICARE: DR. ERIN STEENBURGH THANIK M.D.

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	2080P0201X	Pediatric Allergy/Immunology Physician	225634	NY

General Provider Information

NPI Number	:	1760451918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIN STEENBURGH THANIK M.D.

Provider Business Mailing Address
First Line	:	300 MERCER ST
Second Line	:	APT 30 N
City	:	NEW YORK
State	:	NY
Zip	:	10003-6724
Country	:	US
Telephone Number	:	212-353-2766
Fax Number	:

Provider Business Practice Location Address
First Line	:	506 LENOX AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10037-1802
Country	:	US
Telephone Number	:	212-353-2766
Fax Number	:

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	08/14/2015

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