Provider Demographics
NPI:1043372287
Name:DR ARNOLD J. STEIN
Entity Type:Organization
Organization Name:DR ARNOLD J. STEIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-692-0400
Mailing Address - Street 1:1000 OCEAN PKWY
Mailing Address - Street 2:LA1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3425
Mailing Address - Country:US
Mailing Address - Phone:718-692-0400
Mailing Address - Fax:718-253-5841
Practice Address - Street 1:1000 OCEAN PKWY
Practice Address - Street 2:LA1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3425
Practice Address - Country:US
Practice Address - Phone:718-692-0400
Practice Address - Fax:718-253-5841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2007-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155265207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00960834Medicaid
NY00960834Medicaid
NY68D301Medicare ID - Type Unspecified