MEDICARE: STEINWAY FOOT CARE GROUP, LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N004460	NY
2	213EP1101X	Primary Podiatric Medicine Podiatrist	N004460	NY
3	213ER0200X	Radiology Podiatrist	N004460	NY
4	213ES0000X	Sports Medicine Podiatrist	N004460	NY
5	213ES0131X	Foot Surgery Podiatrist	N004460	NY

General Provider Information

NPI Number	:	1154571578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEINWAY FOOT CARE GROUP, LLP

Provider Business Mailing Address
First Line	:	4105 31ST AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11103-3462
Country	:	US
Telephone Number	:	718-278-8020
Fax Number	:	718-278-8599

Provider Business Practice Location Address
First Line	:	4105 31ST AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11103-3462
Country	:	US
Telephone Number	:	718-278-8020
Fax Number	:	718-278-8599

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. JAMES DAVID EINHORN
Credential	:	DPM
Telephone Number	:	718-278-8020

Provider Enumeration Date	:	09/22/2008
Last Update Date	:	05/27/2009

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