Healthcare Provider Details

I. General information

NPI: 1952328718
Provider Name (Legal Business Name): ALFRED SHTAINER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2148 OCEAN AVE STE 6A
BROOKLYN NY
11229-1483
US

IV. Provider business mailing address

205 E 78TH ST STE B&C
NEW YORK NY
10075-1243
US

V. Phone/Fax

Practice location:
  • Phone: 718-368-0600
  • Fax: 833-549-1981
Mailing address:
  • Phone: 917-880-8487
  • Fax: 833-549-1981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number1789381
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: