Provider Demographics
NPI:1770667677
Name:STEIN, JEFFREY S (MD)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:S
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1385 YORK AVE
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3904
Mailing Address - Country:US
Mailing Address - Phone:212-396-0500
Mailing Address - Fax:866-297-1109
Practice Address - Street 1:19 E 80TH ST
Practice Address - Street 2:SUITE 1E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0117
Practice Address - Country:US
Practice Address - Phone:212-396-0500
Practice Address - Fax:866-297-1109
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2017-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY162428208600000X, 2086S0102X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE87418Medicare UPIN
NY45F861Medicare PIN