Provider Demographics
NPI:1306904370
Name:STEINMETZ, IRA
Entity type:Individual
Prefix:DR
First Name:IRA
Middle Name:
Last Name:STEINMETZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1975 E 13TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-3301
Mailing Address - Country:US
Mailing Address - Phone:718-339-7000
Mailing Address - Fax:718-382-4413
Practice Address - Street 1:1975 E 13TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3301
Practice Address - Country:US
Practice Address - Phone:718-339-7000
Practice Address - Fax:718-382-4413
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155877207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY41D071Medicare ID - Type Unspecified