Healthcare Provider Details
I. General information
NPI: 1063249977
Provider Name (Legal Business Name): ADAM MILTON STEINBERG MHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/16/2024
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3249 KINGSBRIDGE AVE
BRONX NY
10463-5514
US
IV. Provider business mailing address
1399 PARK AVE APT 19B
NEW YORK NY
10029-4575
US
V. Phone/Fax
- Phone: 718-926-9975
- Fax:
- Phone: 708-323-8965
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: