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General NPI Number Information
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NPI Number | 1285824706
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Entity Type | Individual
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Provider Name | STACEY M STEIN MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 333 CEDAR ST BOX 208028
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City | NEW HAVEN
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State | CT
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Zip | 06510-3206
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Country | US
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Telephone | 203-785-5756
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Fax |
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Provider Business Mailing Address
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Address Line | 560 RIVERSIDE DR APARTMENT 12J
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City | NEW YORK
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State | NY
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Zip | 10027-3202
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Country | US
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Telephone | 917-922-3879
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 049046
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 25MA12494500
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License Number State | NJ
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