Provider Demographics
NPI:1871927459
Name:STEIN, RICHARD (DVM)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:STEIN
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 WILDCAT RD
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:NY
Mailing Address - Zip Code:12701-4152
Mailing Address - Country:US
Mailing Address - Phone:845-791-4501
Mailing Address - Fax:
Practice Address - Street 1:75 WILDCAT RD
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:NY
Practice Address - Zip Code:12701-4152
Practice Address - Country:US
Practice Address - Phone:845-791-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-30
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4269174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian