Basic Information
| Provider Information | |||||||||
| NPI: | 1902801566 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEINBERG | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 ELMWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146420001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854860600 | ||||||||
| FaxNumber: | 5854860649 | ||||||||
| Practice Location | |||||||||
| Address1: | 601 ELMWOOD AVE | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146423880 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5854860600 | ||||||||
| FaxNumber: | 5854860649 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2005 | ||||||||
| LastUpdateDate: | 09/08/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 0101034547 | VA | N | Other Service Providers | Specialist | 207R00000X | 0101034547 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0003X | 0101034547 | VA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | 109019 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RH0003X | 2019-01493 | NC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology |
ID Information
| ID | Type | State | Issuer | Description | 110133953 | 01 | VA | RAILROAD MEDICARE | OTHER | 35022 | 01 | VA | OPTIMA | OTHER | C06115 | 01 | VA | GROUP PTAN | OTHER | 00193146 | 05 | NY | MEDICAID | 006099165 | 05 | VA | MEDICAID |