Provider Demographics
NPI:1972576494
Name:STEINAGEL, MICHAEL C (ATC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:C
Last Name:STEINAGEL
Suffix:
Gender:M
Credentials:ATC
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 671
Mailing Address - Street 2:1311 EAST PARK
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-0671
Mailing Address - Country:US
Mailing Address - Phone:716-773-1282
Mailing Address - Fax:716-773-5708
Practice Address - Street 1:1311 E PARK RD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NY
Practice Address - Zip Code:14072-2314
Practice Address - Country:US
Practice Address - Phone:716-773-1282
Practice Address - Fax:716-773-5708
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001194-1225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist