MEDICARE: MR. STEVEN J LOEHNER

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	332B00000X	Durable Medical Equipment & Medical Supplies

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	:	1619027299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN J LOEHNER

Provider Business Mailing Address
First Line	:	911 44TH DR
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-7012
Country	:	US
Telephone Number	:	718-392-5823
Fax Number	:	718-392-8171

Provider Business Practice Location Address
First Line	:	911 44TH DR
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-7012
Country	:	US
Telephone Number	:	718-392-5823
Fax Number	:	718-392-8171

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	10/19/2007

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