Provider Demographics
NPI:1235569138
Name:MARK A. STEELE, MD, PC
Entity Type:Organization
Organization Name:MARK A. STEELE, MD, PC
Other - Org Name:PEDIATRIC OPHTHALMIC CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RHODORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-981-9800
Mailing Address - Street 1:40 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4119
Mailing Address - Country:US
Mailing Address - Phone:212-981-9800
Mailing Address - Fax:212-981-9818
Practice Address - Street 1:40 W 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4119
Practice Address - Country:US
Practice Address - Phone:212-981-9800
Practice Address - Fax:212-981-9818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-14
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030857207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03506407Medicaid
NY03619569Medicaid
NYA900000003Medicare PIN
NY80T471Medicare PIN
NY03506407Medicaid
NYA900000004Medicare PIN
NYA900054222Medicare PIN
NY75X861Medicare PIN
NY64F371Medicare PIN