Provider Demographics
NPI:1508831348
Name:STEVEN E GINSBERG D.P.M P.C.
Entity Type:Organization
Organization Name:STEVEN E GINSBERG D.P.M P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GINSBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-365-4141
Mailing Address - Street 1:1041 BAY 32 ST
Mailing Address - Street 2:
Mailing Address - City:BAYSWATER
Mailing Address - State:NY
Mailing Address - Zip Code:11691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2391 ARTHUR AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-8185
Practice Address - Country:US
Practice Address - Phone:718-364-4141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005906213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02387153Medicaid
NY05317Medicare PIN
U90674Medicare UPIN
NY4717890001Medicare NSC
NYPVW181Medicare PIN