Provider Demographics
NPI:1881853844
Name:SHTEYNMAN, SVETLANA (DO)
Entity Type:Individual
Prefix:
First Name:SVETLANA
Middle Name:
Last Name:SHTEYNMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:260 N ROUTE 303
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-1608
Mailing Address - Country:US
Mailing Address - Phone:845-353-0400
Mailing Address - Fax:
Practice Address - Street 1:260 N ROUTE 303
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-1608
Practice Address - Country:US
Practice Address - Phone:845-353-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2438902085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology