Provider Demographics
NPI:1306245790
Name:SHTEYNBERG, HANNA
Entity type:Individual
Prefix:
First Name:HANNA
Middle Name:
Last Name:SHTEYNBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HANNA
Other - Middle Name:
Other - Last Name:PRYMSHYTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 W 57TH ST
Mailing Address - Street 2:APT 3R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1063
Mailing Address - Country:US
Mailing Address - Phone:917-847-8778
Mailing Address - Fax:
Practice Address - Street 1:544 7TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-6140
Practice Address - Country:US
Practice Address - Phone:917-847-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist