Provider Demographics
NPI:1518003318
Name:KONRAD, STEVEN SHANE (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:SHANE
Last Name:KONRAD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10 EDWARDS POINT RD
Mailing Address - Street 2:
Mailing Address - City:RUMSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07760-1215
Mailing Address - Country:US
Mailing Address - Phone:443-804-7120
Mailing Address - Fax:844-662-3744
Practice Address - Street 1:109 N 12TH ST STE 507
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11249-1002
Practice Address - Country:US
Practice Address - Phone:443-804-7120
Practice Address - Fax:844-662-3744
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2025-08-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2480372084F0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry