Provider Demographics
NPI:1689697377
Name:STEIN, JESSICA RACHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:RACHEL
Last Name:STEIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2700 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PURCHASE
Mailing Address - State:NY
Mailing Address - Zip Code:10577-2547
Mailing Address - Country:US
Mailing Address - Phone:914-607-5730
Mailing Address - Fax:914-457-1195
Practice Address - Street 1:40 CROSS ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4647
Practice Address - Country:US
Practice Address - Phone:203-845-4800
Practice Address - Fax:203-845-4871
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2018-03-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT044381207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001443811Medicaid
CTI62537Medicare UPIN
CT660000059Medicare ID - Type Unspecified