Provider Demographics
NPI:1346930823
Name:STEIN, TAYLOR ANNE (MS, RD, CDN)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ANNE
Last Name:STEIN
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 PROSPECT AVE APT 3R
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-5529
Mailing Address - Country:US
Mailing Address - Phone:610-462-7749
Mailing Address - Fax:
Practice Address - Street 1:338 PROSPECT AVE APT 3R
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-5529
Practice Address - Country:US
Practice Address - Phone:610-462-7749
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered