Provider Demographics
NPI:1538301270
Name:STEIN, PETER HALE (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:HALE
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 1:777 N BROADWAY
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-1000
Mailing Address - Country:US
Mailing Address - Phone:914-366-3420
Mailing Address - Fax:914-269-1771
Practice Address - Street 1:777 N BROADWAY
Practice Address - Street 2:SUITE 305
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-1000
Practice Address - Country:US
Practice Address - Phone:914-366-3420
Practice Address - Fax:914-269-1771
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2016-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY259187207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology