Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 175494 | NY |
N | 207XS0106X | Orthopaedic Hand Surgeon | 175494 | NY |
NPI | 1215977277 |
---|---|
Provider Name | Peter D Stein |
First Address | Great Neck, NY 11021-5200 |
Second Address | Great Neck, NY 11021-5200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 17/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2000016128 | MEDICARE ID (01) | NY |
AS1136 | OXFORD (01) | NY |
F69289 | (02) | NY |