Provider Demographics
NPI:1407022155
Name:STEINBERG, STELLA (LICENSED NURSE LPN)
Entity Type:Individual
Prefix:MRS
First Name:STELLA
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:LICENSED NURSE LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:384 WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:EARLVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13332-3008
Mailing Address - Country:US
Mailing Address - Phone:315-691-2092
Mailing Address - Fax:
Practice Address - Street 1:384 WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:EARLVILLE
Practice Address - State:NY
Practice Address - Zip Code:13332-3008
Practice Address - Country:US
Practice Address - Phone:315-691-2092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0578731164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse