Provider Demographics
NPI:1558654038
Name:STEVEN S. DOH, MD PC
Entity Type:Organization
Organization Name:STEVEN S. DOH, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:DOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-844-8804
Mailing Address - Street 1:125 DELHI RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1916
Mailing Address - Country:US
Mailing Address - Phone:914-844-8804
Mailing Address - Fax:914-472-8960
Practice Address - Street 1:125 DELHI RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-1916
Practice Address - Country:US
Practice Address - Phone:914-844-8804
Practice Address - Fax:914-844-8804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-17
Last Update Date:2011-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196067-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01860659Medicaid
NY85J8571Medicare PIN
NY01860659Medicaid