Provider Demographics
NPI:1851421648
Name:STEIN, VERA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:VERA
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 BOULDER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3145
Mailing Address - Country:US
Mailing Address - Phone:914-478-4688
Mailing Address - Fax:914-478-8438
Practice Address - Street 1:117 BOULDER RIDGE RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3145
Practice Address - Country:US
Practice Address - Phone:914-478-4688
Practice Address - Fax:914-478-8438
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0271851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN14461Medicare ID - Type Unspecified