Provider Demographics
NPI:1588206288
Name:SUZANNE R STEINBAUM DO PC
Entity Type:Organization
Organization Name:SUZANNE R STEINBAUM DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:STEINBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:212-758-3200
Mailing Address - Street 1:800 5TH AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7216
Mailing Address - Country:US
Mailing Address - Phone:212-758-3200
Mailing Address - Fax:
Practice Address - Street 1:800 5TH AVE STE 205
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7216
Practice Address - Country:US
Practice Address - Phone:212-758-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty