Provider Demographics
NPI:1558455089
Name:FIVE TOWNS NEUROLOGY, PC
Entity Type:Organization
Organization Name:FIVE TOWNS NEUROLOGY, PC
Other - Org Name:WOODMERE SLEEP CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:G
Authorized Official - Last Name:STEINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-239-1800
Mailing Address - Street 1:923 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1739
Mailing Address - Country:US
Mailing Address - Phone:516-239-1800
Mailing Address - Fax:516-295-5557
Practice Address - Street 1:923 BROADWAY
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1739
Practice Address - Country:US
Practice Address - Phone:516-239-1800
Practice Address - Fax:516-295-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02593502Medicaid
NY02593502Medicaid
NY05122Medicare ID - Type UnspecifiedGHI MEDICARE GROUP #