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Individual

MELISSA R STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
804 E 138TH ST, BRONX, NY 10454-1902
(718) 665-7500
(718) 665-4768
Mailing address
804 E 138TH ST, BRONX, NY 10454-1902
(718) 665-7500
(718) 665-4768

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
224773
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
224773
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00245643
NY
Enumeration date
10/13/2006
Last updated
03/31/2021
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