Healthcare Provider Details

I. General information

NPI: 1427424589
Provider Name (Legal Business Name): SHEIN ORTHOPAEDICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2015
Last Update Date: 08/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 WATERS PL SUITE 903
BRONX NY
10461-2720
US

IV. Provider business mailing address

1250 WATERS PL SUITE 903
BRONX NY
10461-2720
US

V. Phone/Fax

Practice location:
  • Phone: 347-843-8657
  • Fax: 347-843-7841
Mailing address:
  • Phone: 347-843-8657
  • Fax: 347-843-7841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DAVID MS SHEIN
Title or Position: OWNER
Credential: MD
Phone: 347-843-8657