Provider Demographics
NPI:1922054782
Name:STEINER, SALLY MARIE (MSPT)
Entity Type:Individual
Prefix:MISS
First Name:SALLY
Middle Name:MARIE
Last Name:STEINER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:7008 ERIE ROAD
Mailing Address - City:DERBY
Mailing Address - State:NY
Mailing Address - Zip Code:14047-0858
Mailing Address - Country:US
Mailing Address - Phone:716-947-2009
Mailing Address - Fax:716-947-2010
Practice Address - Street 1:7008 ERIE RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:NY
Practice Address - Zip Code:14047-9592
Practice Address - Country:US
Practice Address - Phone:716-947-2009
Practice Address - Fax:716-947-2010
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020479-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000628422001OtherBLUE CROSS & BLUE SHIELD