Provider Demographics
NPI:1497861348
Name:STEIER, MOSHE (MD)
Entity Type:Individual
Prefix:
First Name:MOSHE
Middle Name:
Last Name:STEIER
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 1:4705 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1107
Mailing Address - Country:US
Mailing Address - Phone:718-435-9219
Mailing Address - Fax:718-435-1227
Practice Address - Street 1:4705 16TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1107
Practice Address - Country:US
Practice Address - Phone:718-435-9219
Practice Address - Fax:718-435-1227
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY115885208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00214466Medicaid
C11697Medicare UPIN