MEDICARE: RICHARD M STEINBRUCK MD

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	208600000X	Surgery Physician	152501	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	:	1447255930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD M STEINBRUCK MD

Provider Business Mailing Address
First Line	:	1130 VICTORY BLVD
Second Line	:	RICHMOND SURGICAL ASSOCIATES PLLC
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-3623
Country	:	US
Telephone Number	:	718-447-5211
Fax Number	:	718-273-6635

Provider Business Practice Location Address
First Line	:	1130 VICTORY BLVD
Second Line	:	RICHMOND SURGICAL ASSOCIATES PLLC
City	:	STATEN ISLAND
State	:	NY
Zip	:	10301-3623
Country	:	US
Telephone Number	:	718-447-5211
Fax Number	:	718-273-6635

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

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	06/12/2012

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