Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 040784 | NY |
NPI | 1033318142 |
---|---|
Provider Name | Dr. Jeffrey H Stein |
First Address | East Syracuse, NY 13057-9822 |
Second Address | East Syracuse, NY 13057-9822 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2007 |
Last Update Date | 19/10/2017 |