Provider Demographics
NPI:1043265648
Name:STEINBERG, JENNIFER LYNN (RPAC)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:LYNN
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:369 E MAIN STREET
Mailing Address - Street 2:STE 3
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730
Mailing Address - Country:US
Mailing Address - Phone:631-581-4500
Mailing Address - Fax:631-581-5905
Practice Address - Street 1:369 E MAIN STREET
Practice Address - Street 2:STE 3
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730
Practice Address - Country:US
Practice Address - Phone:631-581-4500
Practice Address - Fax:631-581-5905
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYMS1315945363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical