Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 224773 | NY |
N | 111NI0900X | Internist | 224773 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | 224773 | NY |
NPI | 1699865592 |
---|---|
Provider Name | Melissa R Stein |
First Address | Bronx, NY 10454-1902 |
Second Address | Bronx, NY 10454-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2006 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00245643 | (05) | NY |