Provider Demographics
NPI:1811369895
Name:STEINFELD, NAOMI (PA)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:STEINFELD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 NEWTOWN RD STE 2A
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-4151
Mailing Address - Country:US
Mailing Address - Phone:203-830-4700
Mailing Address - Fax:203-730-4165
Practice Address - Street 1:107 NEWTOWN RD STE 2A
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810
Practice Address - Country:US
Practice Address - Phone:203-830-4700
Practice Address - Fax:203-730-4165
Is Sole Proprietor?:No
Enumeration Date:2015-10-29
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY018809363A00000X
CT4093363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant