Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 150782 | NY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 150782 | NY |
NPI | 1174530570 |
---|---|
Provider Name | Joseph Isaac Stein |
First Address | Brooklyn, NY 11204-1431 |
Second Address | Brooklyn, NY 11204-1431 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 12/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00991800 | (05) | NY |
150782 | NY STATE LICENSE (01) | NY |
18N011 | NEIGHBORHOOD HEALTH PLAN (01) | NY |
C12174 | (02) | NY |
KS308 | OXFORD HEALTH PLANS (01) |