Provider Demographics
NPI:1053651125
Name:STEINBERG & GARREL ORTHODONTICS, PLLC
Entity Type:Organization
Organization Name:STEINBERG & GARREL ORTHODONTICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:GARREL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-435-1818
Mailing Address - Street 1:5713 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1811
Mailing Address - Country:US
Mailing Address - Phone:718-435-1818
Mailing Address - Fax:
Practice Address - Street 1:5713 16TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1811
Practice Address - Country:US
Practice Address - Phone:718-435-1818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0406031223X0400X
NY0476671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01216013Medicaid
NY01866302Medicaid