Provider Demographics
NPI:1851356836
Name:STEIN, CHRISTINE ANNE (AUD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANNE
Last Name:STEIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 E VICTOR RD
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-9306
Mailing Address - Country:US
Mailing Address - Phone:585-398-1210
Mailing Address - Fax:585-398-1212
Practice Address - Street 1:1331 E VICTOR RD
Practice Address - Street 2:SUITE 220
Practice Address - City:VICTOR
Practice Address - State:NY
Practice Address - Zip Code:14564-9306
Practice Address - Country:US
Practice Address - Phone:585-398-1210
Practice Address - Fax:585-398-1212
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001431-1231H00000X
NY14000016523237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY106006AIOtherPREFERRED CARE
NY7276228OtherAETNA
NYP0170037PHOtherBLUE CHOICE VENDOR #
NYP020001431OtherBLUE CROSS BLUE SHIELD TR
NYP010001431OtherBLUE CHOICE HMO
RA8517Medicare PIN