Provider Demographics
NPI:1699816413
Name:REIN, STEPHANIE BETH (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:BETH
Last Name:REIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:228 WEST 82ND STREET
Mailing Address - Street 2:WESTSIDE MEDICAL ASSOCIATES, LLP
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5404
Mailing Address - Country:US
Mailing Address - Phone:212-362-6468
Mailing Address - Fax:212-362-0851
Practice Address - Street 1:228 W 82ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5404
Practice Address - Country:US
Practice Address - Phone:212-362-6468
Practice Address - Fax:212-362-0851
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY195325207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G05024Medicare UPIN
NY213621Medicare PIN