Provider Demographics
NPI:1588712111
Name:STRUHL, STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:STRUHL
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 1:681 LEXINGTON AVE
Mailing Address - Street 2:5TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2625
Mailing Address - Country:US
Mailing Address - Phone:212-207-1990
Mailing Address - Fax:212-207-4656
Practice Address - Street 1:57 W 57TH ST
Practice Address - Street 2:SUITE 1406
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-2802
Practice Address - Country:US
Practice Address - Phone:212-207-1990
Practice Address - Fax:212-207-4656
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY168248207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB49217Medicare UPIN
NY239741Medicare ID - Type Unspecified