Healthcare Provider Details
I. General information
NPI: 1477782209
Provider Name (Legal Business Name): STEINFELD & AMOONA, MD'S, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/14/2009
Last Update Date: 07/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1573 BROADWAY
HEWLETT NY
11557-1428
US
IV. Provider business mailing address
1573 BROADWAY
HEWLETT NY
11557-1428
US
V. Phone/Fax
- Phone: 516-374-3322
- Fax: 516-374-0944
- Phone: 516-374-3322
- Fax: 516-374-0944
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080A0000X |
| Taxonomy | Pediatric Adolescent Medicine Physician |
| License Number | 087329 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | 087329 |
| License Number State | NY |
VIII. Authorized Official
Name: DR.
PHILIP
S.
STEINFELD
Title or Position: PRESIDENT
Credential: MD
Phone: 516-374-3322