Healthcare Provider Details

I. General information

NPI: 1881601250
Provider Name (Legal Business Name): STEVEN ALAN KING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 E 38TH ST #19A
NEW YORK NY
10016-9819
US

IV. Provider business mailing address

308 E 38TH ST #19A
NEW YORK NY
10016-9819
US

V. Phone/Fax

Practice location:
  • Phone: 212-922-0641
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number160666
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: