MEDICARE: BRUCE S STEIN MD

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	207RR0500X	Rheumatology Physician	191991	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	28N591	OTHER	NY	EMPIRE MEDICARE

General Provider Information

NPI Number	:	1982631545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE S STEIN MD

Provider Business Mailing Address
First Line	:	26112 E WILLISTON AVE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11001-1145
Country	:	US
Telephone Number	:	718-347-8888
Fax Number	:	718-347-8889

Provider Business Practice Location Address
First Line	:	26112 E WILLISTON AVE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11001-1145
Country	:	US
Telephone Number	:	718-347-8888
Fax Number	:	718-347-8889

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	06/30/2008

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Directions to “ BRUCE S STEIN MD” Practice Location

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