Provider Demographics
NPI:1992773899
Name:STEIN, ADAM B (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:B
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 1:825 NORTHERN BLVD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-465-8609
Mailing Address - Fax:516-465-8723
Practice Address - Street 1:825 NORTHERN BLVD.
Practice Address - Street 2:1ST FLOOR
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-465-8609
Practice Address - Fax:516-465-8723
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY176987-1225400000X
NY176987208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01450559Medicaid
NYE97239Medicare UPIN
NY90F941Medicare ID - Type Unspecified