Provider Demographics
NPI:1639320476
Name:STEVEN STRUHL MD PLLC
Entity Type:Organization
Organization Name:STEVEN STRUHL MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRUHL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-207-1990
Mailing Address - Street 1:57 W 57TH ST
Mailing Address - Street 2:SUITE 1409
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-2802
Mailing Address - Country:US
Mailing Address - Phone:212-207-1990
Mailing Address - Fax:212-207-4656
Practice Address - Street 1:57 W 57TH ST
Practice Address - Street 2:SUITE 1409
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2802
Practice Address - Country:US
Practice Address - Phone:212-207-1990
Practice Address - Fax:212-207-4656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY239741OtherP10