MEDICARE: DR. JOEL 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
1	207R00000X	Internal Medicine Physician	75663	MA
2	208100000X	Physical Medicine & Rehabilitation Physician	75663	MA
3	208100000X	Physical Medicine & Rehabilitation Physician	170605	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	J12195	OTHER	MA	BCBS MA
2	075663	OTHER	MA	TUFTS HEALTH PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578553269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOEL STEIN M.D.

Provider Business Mailing Address
First Line	:	180 FORT WASHINGTON AVE
Second Line	:	SUITE 199
City	:	NEW YORK
State	:	NY
Zip	:	10032-3722
Country	:	US
Telephone Number	:	212-305-4818
Fax Number	:	212-342-3138

Provider Business Practice Location Address
First Line	:	180 FORT WASHINGTON AVE
Second Line	:	SUITE 199
City	:	NEW YORK
State	:	NY
Zip	:	10032-3722
Country	:	US
Telephone Number	:	212-305-4818
Fax Number	:	212-342-3138

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

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	07/24/2014

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Directions to “ DR. JOEL STEIN M.D.” Practice Location

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