Basic Information
| Provider Information | |||||||||
| NPI: | 1285686402 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AWNER | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 811 MAPLE RD | ||||||||
| Address2: | |||||||||
| City: | WILLIAMSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142213260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166318888 | ||||||||
| FaxNumber: | 7166313803 | ||||||||
| Practice Location | |||||||||
| Address1: | 811 MAPLE RD | ||||||||
| Address2: | |||||||||
| City: | WILLIAMSVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142213260 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7166318888 | ||||||||
| FaxNumber: | 7166313803 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/16/2006 | ||||||||
| LastUpdateDate: | 06/12/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207WX0110X | 183761 | NY | N | 207W00000X | 183761 | NY | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.