Provider Demographics
NPI:1619027299
Name:LOEHNER, STEVEN J
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:J
Last Name:LOEHNER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 44TH DR
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-7012
Mailing Address - Country:US
Mailing Address - Phone:718-392-5823
Mailing Address - Fax:718-392-8171
Practice Address - Street 1:911 44TH DR
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-7012
Practice Address - Country:US
Practice Address - Phone:718-392-5823
Practice Address - Fax:718-392-8171
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01124501Medicaid
NY01124501Medicaid