Provider Demographics
NPI:1619668696
Name:STEIN, TZVI (NP)
Entity Type:Individual
Prefix:
First Name:TZVI
Middle Name:
Last Name:STEIN
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:78 MONSEY HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3538
Mailing Address - Country:US
Mailing Address - Phone:718-909-6637
Mailing Address - Fax:
Practice Address - Street 1:78 MONSEY HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:AIRMONT
Practice Address - State:NY
Practice Address - Zip Code:10952-3538
Practice Address - Country:US
Practice Address - Phone:718-909-6637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-19
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF404781363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health