Healthcare Provider Details

I. General information

NPI: 1376668137
Provider Name (Legal Business Name): CHRISTINE D STEINMAN-REALE R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

813 FAY RD
SYRACUSE NY
13219-3009
US

IV. Provider business mailing address

370 COLERIDGE AVE
SYRACUSE NY
13204-2517
US

V. Phone/Fax

Practice location:
  • Phone: 315-488-2831
  • Fax:
Mailing address:
  • Phone: 315-476-3526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number485544
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: