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NPI Code Detail

MEDICARE: DR. DEBRA M STEIN M.D.

MEDICARE: DR. DEBRA M STEIN 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
1208000000XPediatrics Physician35-08-0397OH
2208000000XPediatrics Physician204966NY

General Provider Information

NPI Number : 1124180955
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBRA M STEIN M.D.
Provider Business Mailing Address
First Line : 23 ROBERTA LN
Second Line :
City : COMMACK
State : NY
Zip : 11725-3815
Country : US
Telephone Number : 513-617-4823
Fax Number :
Provider Business Practice Location Address
First Line : 1300 WATERS PL
Second Line :
City : BRONX
State : NY
Zip : 10461-2714
Country : US
Telephone Number : 929-348-3693
Fax Number : 929-348-3735
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 12/21/2021

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