Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 203559 | NY |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 203559 | NY |
NPI | 1073626024 |
---|---|
Provider Name | Dr. Drew A Stein |
First Address | Boca Raton, FL 33496-2658 |
Second Address | Boca Raton, FL 33496-2658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 23/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02442088 | (05) | NY |
3215698 | AETNA HMO (01) | NY |
502547 | GHI (01) | NY |
523G52 | BCBS (01) | NY |
562361830 | HORIZON (01) | NY |
562361830 | PHCS (01) | NY |
784650 | AETNA NON-HMO (01) | NY |
H60475 | (02) | NY |
P2679844 | OXFORD (01) | NY |