Provider Demographics
NPI:1659396414
Name:STEINER, ROBERT S
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:STEINER
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:THREE BARKER AVENUE
Mailing Address - Street 2:PARK AVENUE MEDICAL ASSOCIATES PC 4TH FLOOR
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601
Mailing Address - Country:US
Mailing Address - Phone:914-949-1199
Mailing Address - Fax:914-949-1245
Practice Address - Street 1:THREE BARKER AVENUE
Practice Address - Street 2:PARK AVENUE MEDICAL ASSOCIATES PC 4TH FLOOR
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601
Practice Address - Country:US
Practice Address - Phone:914-949-1199
Practice Address - Fax:914-949-1245
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009430103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02468904Medicaid
6100642OtherEVERCARE
NY02468904Medicaid
V59711Medicare ID - Type Unspecified