=====================================================
General NPI Number Information
=====================================================
NPI Number | 1326137621
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANIEL T STEIN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/12/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | MMC - DEPT. OF MEDICINE 1300 MORRIS PARK AVE., # G47
-----------------------------------------------------
City | BRONX
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10461
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-430-2446
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6 WINDSOR LN
-----------------------------------------------------
City | SCARSDALE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10583-5616
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-430-2446
-----------------------------------------------------
Fax | 718-405-8291
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | 213572
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------