Healthcare Provider Details

I. General information

NPI: 1013008820
Provider Name (Legal Business Name): RODD A STEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1880 COMMERCE ST
YORKTOWN HEIGHTS NY
10598-4431
US

IV. Provider business mailing address

2425 SUSAN CT
YORKTOWN HEIGHTS NY
10598-3517
US

V. Phone/Fax

Practice location:
  • Phone: 914-962-5556
  • Fax: 914-962-0723
Mailing address:
  • Phone: 914-739-6925
  • Fax: 914-962-0723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number213651
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: