Healthcare Provider Details

I. General information

NPI: 1649809807
Provider Name (Legal Business Name): STEVEN ASTAFIEV MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 E 61ST ST
NEW YORK NY
10065-8722
US

IV. Provider business mailing address

425 E 61ST ST
NEW YORK NY
10065-8722
US

V. Phone/Fax

Practice location:
  • Phone: 646-962-2333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number322673
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: