Healthcare Provider Details

I. General information

NPI: 1619178142
Provider Name (Legal Business Name): JUSTIN GREGORY STEELE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 W 12TH ST CRONIN 454
NEW YORK NY
10011-8202
US

IV. Provider business mailing address

506 6TH ST
BROOKLYN NY
11215-3609
US

V. Phone/Fax

Practice location:
  • Phone: 646-334-8584
  • Fax:
Mailing address:
  • Phone:
  • Fax: 718-780-3154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number243491
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: