Provider Demographics
NPI:1518080837
Name:STEINBERG, FREDERICK LOUIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:LOUIS
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 CENTRAL AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1205
Mailing Address - Country:US
Mailing Address - Phone:516-569-3833
Mailing Address - Fax:516-569-3885
Practice Address - Street 1:999 CENTRAL AVE STE 201
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1205
Practice Address - Country:US
Practice Address - Phone:516-569-3833
Practice Address - Fax:516-569-3885
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0359491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice