Provider Demographics
NPI:1841396546
Name:STEINBERG, AMY WISHNER (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:WISHNER
Last Name:STEINBERG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2500 ROUTE 347
Mailing Address - Street 2:BLDG 5A AMY WISHNER STEINBERG MD
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-2555
Mailing Address - Country:US
Mailing Address - Phone:631-689-7683
Mailing Address - Fax:631-689-5793
Practice Address - Street 1:2500 ROUTE 347
Practice Address - Street 2:BLDG 5A AMY WISHNER STEINBERG MD
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-2555
Practice Address - Country:US
Practice Address - Phone:631-689-7683
Practice Address - Fax:631-689-5793
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY160386207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B20301Medicare UPIN
94D981Medicare ID - Type Unspecified