Basic Information
Provider Information
NPI: 1326137621
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEIN
FirstName: DANIEL
MiddleName: T
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6 WINDSOR LN
Address2:  
City: SCARSDALE
State: NY
PostalCode: 105835616
CountryCode: US
TelephoneNumber: 7184302446
FaxNumber: 7184058291
Practice Location
Address1: MMC - DEPT. OF MEDICINE
Address2: 1300 MORRIS PARK AVE., # G47
City: BRONX
State: NY
PostalCode: 10461
CountryCode: US
TelephoneNumber: 7184302446
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/12/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X213572NYY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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