=====================================================
General NPI Number Information
=====================================================
NPI Number | 1952318487
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARRY D STEIN MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2006
-----------------------------------------------------
Last Update Date | 01/12/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5502A BRUSH HOLLOW RD
-----------------------------------------------------
City | WESTBURY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11590-1719
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-699-8700
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 249 DANBURY RD
-----------------------------------------------------
City | WILTON
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06897-4070
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-883-0038
-----------------------------------------------------
Fax | 203-724-4838
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number | 039079
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------