Provider Demographics
NPI:1326293770
Name:STEINBERG, RANDI JOY (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RANDI
Middle Name:JOY
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:RANDI
Other - Middle Name:JOY
Other - Last Name:ZELIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3209 AVENUE L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-5437
Mailing Address - Country:US
Mailing Address - Phone:917-743-6550
Mailing Address - Fax:718-377-2893
Practice Address - Street 1:3914 15TH AVE
Practice Address - Street 2:JUMPSTART-EIP
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4410
Practice Address - Country:US
Practice Address - Phone:718-853-9700
Practice Address - Fax:718-853-5533
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-27
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006712-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist