Doctor Name: | DR. KENNETH H. SHUBIN STEIN |
NPI Number: | 1437441987 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 065045917 |
Business Practice Address: | 185 W End Ave 15a New York, NY - 100235539 |
Business Phone Number: | 2125864198 |
Business Fax Number: | |
Mailing Address: | 185 W End Ave, 15a NEW YORK |
State: | NY |
Postal Code: | 100235539 |
Phone Number: | 2125864198 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2011 |
NPI Last Update Date: | 05/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 065045917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |