Provider Demographics
NPI:1669430989
Name:STEINER, MAX (MD)
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:
Last Name:STEINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2561 LAC DE VILLE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14618
Mailing Address - Country:US
Mailing Address - Phone:585-473-3900
Mailing Address - Fax:585-461-2216
Practice Address - Street 1:2561 LAC DE VILLE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14618
Practice Address - Country:US
Practice Address - Phone:585-473-3900
Practice Address - Fax:585-461-2216
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY151344208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00856831Medicaid
NY102420DLOtherPREFERRED CARE #
NYP010151344OtherBLUE CHOICE #
NY1213857OtherIHA #
NY051007000021OtherFIDELIS CARE #
NY102420DLOtherPREFERRED CARE #