MEDICARE: SVETLANA STEIN PHARM.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	183500000X	Pharmacist	055039	NY

General Provider Information

NPI Number	:	1144538315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SVETLANA STEIN PHARM.D.

Provider Business Mailing Address
First Line	:	1622 VOORHIES AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3914
Country	:	US
Telephone Number	:	347-462-9778
Fax Number	:	347-462-9781

Provider Business Practice Location Address
First Line	:	1622 VOORHIES AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3914
Country	:	US
Telephone Number	:	347-462-9778
Fax Number	:	347-462-9781

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

Provider Enumeration Date	:	09/21/2010
Last Update Date	:	07/06/2022

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