MEDICARE: MR. HOWARD STEIN LCSW

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	1041C0700X	Clinical Social Worker	PR011700-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0099864	OTHER	NY	GHI
2	P1068493	OTHER	NY	OXFORD
3	R011700	OTHER	NY	HIP
4	027521	OTHER	NY	VALUE OPTIONS
5	7382074	OTHER	NY	AETNA
6	N59081	OTHER	NY	EMBCBS
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740378819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HOWARD STEIN LCSW

Provider Business Mailing Address
First Line	:	2151 E 22ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3642
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2151 E 22ND ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-3642
Country	:	US
Telephone Number	:	212-874-2385
Fax Number	:

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

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	07/08/2007

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