MEDICARE: EAST END NEUROPSYCHIATRIC ASSOCIATES PC

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	2084P0805X	Geriatric Psychiatry Physician		NY

General Provider Information

NPI Number	:	1609863687
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST END NEUROPSYCHIATRIC ASSOCIATES PC

Provider Business Mailing Address
First Line	:	2539 MIDDLE COUNTRY RD
Second Line	:	SUITE 4
City	:	CENTEREACH
State	:	NY
Zip	:	11720-3551
Country	:	US
Telephone Number	:	631-737-6434
Fax Number	:	631-738-1226

Provider Business Practice Location Address
First Line	:	2539 MIDDLE COUNTRY RD
Second Line	:	SUITE 4
City	:	CENTEREACH
State	:	NY
Zip	:	11720-3551
Country	:	US
Telephone Number	:	631-737-6434
Fax Number	:	631-738-1226

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALAN L STEINBERG
Credential	:	MD
Telephone Number	:	631-737-6434

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	07/21/2022

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