1841241791 NPI number — ROBYN S STEINACHER DO

Table of content: ROBYN S STEINACHER DO (NPI 1841241791)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841241791 NPI number — ROBYN S STEINACHER DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEINACHER
Provider First Name:
ROBYN
Provider Middle Name:
S
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LEIBOWITZ
Provider Other First Name:
ROBYN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1841241791
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
120 GARDENVILLE PKWY W
Provider Second Line Business Mailing Address:
ATTN: BETTY PICCILLO
Provider Business Mailing Address City Name:
WEST SENECA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
14224-1324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
716-857-6150
Provider Business Mailing Address Fax Number:
716-656-4074

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
120 GARDENVILLE PARKWAY WEST
Provider Second Line Business Practice Location Address:
WEST SENECA HEALTH CENTER
Provider Business Practice Location Address City Name:
WEST SENECA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14224
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
716-668-3600
Provider Business Practice Location Address Fax Number:
716-656-4224
Provider Enumeration Date:
05/15/2006

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: 208000000X , with the licence number:  228323 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1292592 . This is a "IHA LEGACY#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 00026308502 . This is a "UNIVERA LEGACY#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 159655DL . This is a "PREFERRED CARE LEGACY#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 8494418 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000627320002 . This is a "HEALTH NOW BCBS LEGACY#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 040426003130 . This is a "FIDELIS LEGACY#" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com