Provider Demographics
NPI:1801365499
Name:STEINBERG, LISA NATALIE (PMHNP-BC, MSN, RN-BC)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:NATALIE
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:PMHNP-BC, MSN, RN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 STAUBER DR
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-4844
Mailing Address - Country:US
Mailing Address - Phone:516-297-6769
Mailing Address - Fax:
Practice Address - Street 1:775 PARK AVE STE 101
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-7504
Practice Address - Country:US
Practice Address - Phone:631-427-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF402401-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health