MEDICARE: DR. DAVID M.S. SHEIN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	195110	NY
2	207X00000X	Orthopaedic Surgery Physician	195110	NY

General Provider Information

NPI Number	:	1053316836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID M.S. SHEIN M.D.

Provider Business Mailing Address
First Line	:	1250 WATERS PL
Second Line	:	SUITE 903
City	:	BRONX
State	:	NY
Zip	:	10461-2720
Country	:	US
Telephone Number	:	718-450-9955
Fax Number	:	718-450-9988

Provider Business Practice Location Address
First Line	:	1250 WATERS PL
Second Line	:	SUITE 903
City	:	BRONX
State	:	NY
Zip	:	10461-2720
Country	:	US
Telephone Number	:	718-450-9955
Fax Number	:	718-450-9988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	01/20/2017

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