Provider Demographics
NPI:1013523190
Name:STEINWAY HOPE MEDICAL LLC
Entity Type:Organization
Organization Name:STEINWAY HOPE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAFE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ILEDAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-424-3400
Mailing Address - Street 1:3272 STEINWAY ST STE 302
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-4183
Mailing Address - Country:US
Mailing Address - Phone:929-424-3400
Mailing Address - Fax:888-757-9713
Practice Address - Street 1:3272 STEINWAY ST STE 302
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-4183
Practice Address - Country:US
Practice Address - Phone:929-424-3400
Practice Address - Fax:888-757-9713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty