Healthcare Provider Details

I. General information

NPI: 1225088099
Provider Name (Legal Business Name): RICHARD M. STEINER D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3530 HENRY HUDSON PKWY EAST SUITE D
BRONX NY
10463-1308
US

IV. Provider business mailing address

PO BOX 112
BRONX NY
10470-0102
US

V. Phone/Fax

Practice location:
  • Phone: 718-548-3550
  • Fax: 718-884-4697
Mailing address:
  • Phone: 718-548-3550
  • Fax: 718-884-4697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberN002552
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN002552
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: