MEDICARE: LEWIS STEIN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	179380-1	NY
2	207L00000X	Anesthesiology Physician	1798801	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	040426017738	OTHER	NY	FIDELIS
2	1945T1	OTHER	NY	EMPIRE BCBS
3	1945T2	OTHER	NY	EMPIRE BCBS
4	0133900	OTHER	NY	GHI
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306842380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEWIS STEIN MD

Provider Business Mailing Address
First Line	:	15 MURIEL AVE
Second Line	:
City	:	LAWRENCE
State	:	NY
Zip	:	11559-1810
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 AVENUE K
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2202
Country	:	US
Telephone Number	:	718-968-1515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	01/24/2015

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Directions to “ LEWIS STEIN MD” Practice Location

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