Healthcare Provider Details

I. General information

NPI: 1679638274
Provider Name (Legal Business Name): ERIK WALTER STEINER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 WARREN ST GROUND FLOOR MEDICAL OFFICE
NEW YORK NY
10007-1013
US

IV. Provider business mailing address

80 N MOORE ST #6C
NEW YORK NY
10013-2701
US

V. Phone/Fax

Practice location:
  • Phone: 212-227-6967
  • Fax:
Mailing address:
  • Phone: 212-227-6967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number217825
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: