Provider Demographics
NPI:1336216035
Name:STEINBERG, JEFFREY (DC)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2035 VALENTINES RD
Mailing Address - Street 2:WESTBURY
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-5847
Mailing Address - Country:US
Mailing Address - Phone:516-850-5767
Mailing Address - Fax:
Practice Address - Street 1:2035 VALENTINES RD
Practice Address - Street 2:WESTBURY
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-5847
Practice Address - Country:US
Practice Address - Phone:260-348-4904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2016-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INT95584Medicare UPIN