1235106907 NPI number — MS. MARYANN STEINER LCSWR

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235106907 NPI number — MS. MARYANN STEINER LCSWR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINER
Provider First Name:
MARYANN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
LCSWR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235106907
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2128 ELMWOOD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BUFFALO
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14207-1910
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-874-4500
Provider Business Mailing Address Fax Number:
716-874-8145

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2128 ELMWOOD AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BUFFALO
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14207-1910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-874-4500
Provider Business Practice Location Address Fax Number:
716-874-8145
Provider Enumeration Date:
03/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  00391211 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00011249905 . This is a "UNIVERA MEDICARE PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000590278002 . This is a "BCBS WNY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00011249905 . This is a "ASO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00011249905 . This is a "UNIVERA HEALTHCARE TRADIT" identifier . This identifiers is of the category "OTHER".
  • Identifier: 050526000001 . This is a "FIDELIS FAMILY HEALTH PLU" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00011249905 . This is a "CHILDHEALTH PLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 050526000001 . This is a "FIDELIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00011249905 . This is a "PLUSMED" identifier . This identifiers is of the category "OTHER".
  • Identifier: 800002663 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00011249905 . This is a "UNIVERA TRANSITIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01465154 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00011249905 . This is a "UNIVERA COMMERCIAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00011249905 . This is a "SENIOR CHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 050526000001 . This is a "FIDELIS CHILD HEALTH PLUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 160975538 . This is a "MAGNA CARE" identifier . This identifiers is of the category "OTHER".




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