Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD459521 | PA |
NPI | 1306106398 |
---|---|
Provider Name | Andrew Stein |
First Address | York, PA 17402-9001 |
Second Address | Ephrata, PA 17522-1902 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2012 |
Last Update Date | 03/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033250110001 | (05) | PA |