Provider Demographics
NPI:1396973533
Name:SHELDON H. STEINBACH M.D.,P.C.
Entity type:Organization
Organization Name:SHELDON H. STEINBACH M.D.,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHELDON
Authorized Official - Middle Name:
Authorized Official - Last Name:STEINBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-715-9601
Mailing Address - Street 1:245 E 63RD ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-7466
Mailing Address - Country:US
Mailing Address - Phone:212-715-9601
Mailing Address - Fax:
Practice Address - Street 1:245 E 63RD ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7466
Practice Address - Country:US
Practice Address - Phone:212-715-9601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA104170207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00181026Medicaid
NY00181026Medicaid