MEDICARE: DR. ALEXANDRA CAITLIN STEIN DMD

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	22DI03042500	NJ

General Provider Information

NPI Number	:	1700606019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA CAITLIN STEIN DMD

Provider Business Mailing Address
First Line	:	399 E 72ND ST APT 5J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4653
Country	:	US
Telephone Number	:	917-579-8129
Fax Number	:

Provider Business Practice Location Address
First Line	:	399 E 72ND ST APT 5J
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-4653
Country	:	US
Telephone Number	:	917-579-8129
Fax Number	:

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

Provider Enumeration Date	:	10/11/2024
Last Update Date	:	10/11/2024

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