Healthcare Provider Details

I. General information

NPI: 1477804151
Provider Name (Legal Business Name): DYLAN J STEIN DNP, RN, CPNP-PC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2012
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 EAST 210TH ST ROSENTHAL 3 - PEDS HEME/ONC
BRONX NY
10467-2401
US

IV. Provider business mailing address

3411 WAYNE AVE FL 9
BRONX NY
10467-2552
US

V. Phone/Fax

Practice location:
  • Phone: 718-741-2342
  • Fax:
Mailing address:
  • Phone: 718-741-2342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number740009-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25004916
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number382974
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: