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Individual

DR. GLENN E STEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5811 CO. RT. 32, NORWICH, NY 13815
(607) 336-2020
(607) 336-1003
Mailing address
115 SERENITY DR, NORWICH, NY 13815-3169

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV-005032
NY
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0848760001
MEDICARE DME
Enumeration date
01/04/2006
Last updated
01/11/2008
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