Provider Demographics
NPI:1366895476
Name:STEINBERG, ESTHER (MEDICAL TATTOO,)
Entity type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:STEINBERG
Suffix:
Gender:F
Credentials:MEDICAL TATTOO,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3035 LYNDHURST J
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-2266
Mailing Address - Country:US
Mailing Address - Phone:561-302-1166
Mailing Address - Fax:
Practice Address - Street 1:3035 LYNDHURST J
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-2266
Practice Address - Country:US
Practice Address - Phone:561-302-1166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLFB971385OtherFACIAL SPECIALIST
FL06-44-1501079OtherTATTOO ARTIST CERTIFICATE