Provider Demographics
NPI:1245467133
Name:STEINBACH, ERIC (DDS)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:STEINBACH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 PARK PL
Mailing Address - Street 2:APT#3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4389
Mailing Address - Country:US
Mailing Address - Phone:814-404-6188
Mailing Address - Fax:
Practice Address - Street 1:204 PARK PL
Practice Address - Street 2:APT#3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4389
Practice Address - Country:US
Practice Address - Phone:814-404-6188
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program