Provider Demographics
NPI:1952800179
Name:STEINHILBER, LISA NANCY
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:NANCY
Last Name:STEINHILBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 NEWCASTLE AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-2706
Mailing Address - Country:US
Mailing Address - Phone:516-749-3726
Mailing Address - Fax:
Practice Address - Street 1:6 NEWCASTLE AVE
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2706
Practice Address - Country:US
Practice Address - Phone:516-749-3726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY330514-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty