MEDICARE: DR. STEVEN J. GINSBERG II DPM

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	N002853-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386640431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN J. GINSBERG II DPM

Provider Business Mailing Address
First Line	:	21811 JAMAICA AVE
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11428-2124
Country	:	US
Telephone Number	:	718-464-1978
Fax Number	:	718-464-1995

Provider Business Practice Location Address
First Line	:	218-11 JAMAICA AVE
Second Line	:
City	:	QUEENS VILLAGE
State	:	NY
Zip	:	11428-2124
Country	:	US
Telephone Number	:	718-464-1978
Fax Number	:	718-464-1995

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	05/01/2008

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