Provider Demographics
NPI:1124178082
Name:STEIN, EMILY (PHD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:STEIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 W 57TH ST
Mailing Address - Street 2:4L
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3909
Mailing Address - Country:US
Mailing Address - Phone:212-713-0686
Mailing Address - Fax:212-581-4161
Practice Address - Street 1:60 W 57TH ST
Practice Address - Street 2:4L
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3909
Practice Address - Country:US
Practice Address - Phone:212-713-0686
Practice Address - Fax:212-581-4161
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYV8B111103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist