Healthcare Provider Details

I. General information

NPI: 1659399962
Provider Name (Legal Business Name): MARY ELIZABETH STEIN ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 CAREY RD
QUEENSBURY NY
12804-7821
US

IV. Provider business mailing address

1176 FRIENDS LAKE RD
CHESTERTOWN NY
12817-2113
US

V. Phone/Fax

Practice location:
  • Phone: 518-824-8610
  • Fax: 518-824-2390
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF301457
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: