Healthcare Provider Details

I. General information

NPI: 1851356836
Provider Name (Legal Business Name): CHRISTINE ANNE STEIN AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2006
Last Update Date: 07/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 E VICTOR RD SUITE 220
VICTOR NY
14564-9306
US

IV. Provider business mailing address

1331 E VICTOR RD
VICTOR NY
14564-9306
US

V. Phone/Fax

Practice location:
  • Phone: 585-398-1210
  • Fax: 585-398-1212
Mailing address:
  • Phone: 585-398-1210
  • Fax: 585-398-1212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number001431-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number14000016523
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: