Provider Demographics
NPI:1043423619
Name:FIRESTEIN, STEPHEN KERN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:KERN
Last Name:FIRESTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8 E 96TH ST
Mailing Address - Street 2:APARTMENT 3-A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0706
Mailing Address - Country:US
Mailing Address - Phone:212-831-4554
Mailing Address - Fax:212-831-4846
Practice Address - Street 1:8 E 96TH ST
Practice Address - Street 2:APARTMENT 3-A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0706
Practice Address - Country:US
Practice Address - Phone:212-831-4554
Practice Address - Fax:212-831-4846
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2024-03-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY073106102L00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst