MEDICARE: DR. ROBERT JOHN STINE 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	2084P0800X	Psychiatry Physician	161244	NY

General Provider Information

NPI Number	:	1902022833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JOHN STINE MD

Provider Business Mailing Address
First Line	:	707 E MAIN ST
Second Line	:
City	:	MIDDLETOWN
State	:	NY
Zip	:	10940-2650
Country	:	US
Telephone Number	:	845-333-2260
Fax Number	:	845-333-2245

Provider Business Practice Location Address
First Line	:	311 N MIDLAND AVE
Second Line	:
City	:	NYACK
State	:	NY
Zip	:	10960-1627
Country	:	US
Telephone Number	:	914-345-5900
Fax Number	:

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	11/15/2022

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