Provider Demographics
NPI:1447234174
Name:STEINHART, MELVIN JEROME (MD)
Entity Type:Individual
Prefix:
First Name:MELVIN
Middle Name:JEROME
Last Name:STEINHART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 MURRAY AVE
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-3733
Mailing Address - Country:US
Mailing Address - Phone:518-475-9871
Mailing Address - Fax:518-475-9872
Practice Address - Street 1:274 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1436
Practice Address - Country:US
Practice Address - Phone:518-475-9871
Practice Address - Fax:518-475-9872
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0909472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10001775OtherCDPHP
30432BMedicare ID - Type Unspecified