Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 126697 | NY |
Y | 111NI0900X | Internist | 126697 | NY |
N | 207U00000X | Nuclear Medicine Specialist | 126697 | NY |
NPI | 1184680449 |
---|---|
Provider Name | Dr. Leonard A Stein |
First Address | Stony Brook, NY 11790-2923 |
Second Address | Stony Brook, NY 11790-2923 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 23/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E87588 | (02) | NY |