Provider Demographics
NPI:1306914064
Name:STEINWAY MEDICAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:STEINWAY MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZAW
Authorized Official - Middle Name:MIN
Authorized Official - Last Name:OO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-278-5100
Mailing Address - Street 1:3117 41ST ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3901
Mailing Address - Country:US
Mailing Address - Phone:718-278-5100
Mailing Address - Fax:718-278-6757
Practice Address - Street 1:3117 41ST ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3901
Practice Address - Country:US
Practice Address - Phone:718-278-5100
Practice Address - Fax:718-278-6757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214914207N00000X
NY136246207RC0000X
NY205570207RN0300X
NY2307762084P0800X
NY198749207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01843681Medicaid
NY02678706Medicaid
NY01369795Medicaid
NY01616673Medicaid
NY01501555Medicaid
NY02678706Medicaid
NY01616673Medicaid
NY02I592Medicare PIN
NY11U793Medicare ID - Type Unspecified
NY807821Medicare ID - Type Unspecified
NYH10012Medicare UPIN
NYI22971Medicare UPIN
NY01369795Medicaid
NY01501555Medicaid
NYF81353Medicare UPIN
NYF70417Medicare UPIN
NY26F443Medicare ID - Type Unspecified
NY01843681Medicaid