Provider Demographics
NPI:1851391981
Name:STEIN, DANIEL EVAN (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:EVAN
Last Name:STEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WEST 57 STREET (SUITE 900)
Mailing Address - Street 2:
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10019
Mailing Address - Country:US
Mailing Address - Phone:212-256-8200
Mailing Address - Fax:212-247-4292
Practice Address - Street 1:200 WEST 57 STREET (SUITE 900)
Practice Address - Street 2:
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10019
Practice Address - Country:US
Practice Address - Phone:212-256-8200
Practice Address - Fax:212-247-4292
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182870-1207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01918749Medicaid
G19807Medicare UPIN
NY56Z121Medicare ID - Type Unspecified