Healthcare Provider Details

I. General information

NPI: 1093793705
Provider Name (Legal Business Name): THOMAS D STEEVES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 12/21/2023
Certification Date: 12/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 READE PL STE 1100
POUGHKEEPSIE NY
12601-3986
US

IV. Provider business mailing address

48 CRESCENT ROAD
TORONTO ONTARIO
M4W1S9
CA

V. Phone/Fax

Practice location:
  • Phone: 845-214-1922
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number296278
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: