Provider Demographics
NPI:1629360995
Name:EUGENE A STEINBERG MD PC
Entity Type:Organization
Organization Name:EUGENE A STEINBERG MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:STEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-564-1177
Mailing Address - Street 1:8 THAMES CT
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1177
Mailing Address - Country:US
Mailing Address - Phone:716-564-1177
Mailing Address - Fax:716-564-1189
Practice Address - Street 1:8 THAMES CT
Practice Address - Street 2:
Practice Address - City:GETZVILLE
Practice Address - State:NY
Practice Address - Zip Code:14068-1177
Practice Address - Country:US
Practice Address - Phone:716-564-1177
Practice Address - Fax:716-564-1189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138889207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00779759Medicaid
C49463Medicare UPIN