MEDICARE: PERRY JOSEPH STEIN MD

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	208100000X	Physical Medicine & Rehabilitation Physician	172301	NY
2	2278P3800X	Palliative/Hospice Certified Respiratory Therapist	172301	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104932508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERRY JOSEPH STEIN MD

Provider Business Mailing Address
First Line	:	4303 14TH AVE STE B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1678
Country	:	US
Telephone Number	:	718-941-6000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4303 14TH AVE STE B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-1678
Country	:	US
Telephone Number	:	718-941-6000
Fax Number	:

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

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	12/03/2025

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