Provider Demographics
NPI:1194726281
Name:STEIN, MARK (MD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:201 EAST 19TH STREET
Mailing Address - Street 2:SUITE 1
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-2604
Mailing Address - Country:US
Mailing Address - Phone:212-673-7300
Mailing Address - Fax:212-777-0097
Practice Address - Street 1:201 EAST 19TH STREET
Practice Address - Street 2:SUITE 1
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-2604
Practice Address - Country:US
Practice Address - Phone:212-673-7300
Practice Address - Fax:212-777-0097
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2011-05-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY163036208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY45F883Medicare PIN
NYE98535Medicare UPIN