Healthcare Provider Details
I. General information
NPI: 1548284649
Provider Name (Legal Business Name): LYNN MARIE STEINBRENNER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/26/2006
Last Update Date: 05/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3495 BAILEY AVE
BUFFALO NY
14215-1129
US
IV. Provider business mailing address
5431 SHIMERVILLE RD
CLARENCE NY
14031-1117
US
V. Phone/Fax
- Phone: 716-862-3191
- Fax: 716-862-3192
- Phone: 716-741-2421
- Fax: 716-862-3192
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | 147846 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: