Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 152941 | NY |
NPI | 1003898305 |
---|---|
Provider Name | Janet Stein |
First Address | Philadelphia, PA 19195-2428 |
Second Address | New York, NY 10003-3314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2005 |
Last Update Date | 07/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01101091 | (05) | NY |
C07225 | (02) |