Provider Demographics
NPI:1003029398
Name:STERBA, JOHN A (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:STERBA
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-2233
Mailing Address - Country:US
Mailing Address - Phone:716-655-6854
Mailing Address - Fax:716-655-6854
Practice Address - Street 1:226 CENTER RD
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-2233
Practice Address - Country:US
Practice Address - Phone:716-655-6854
Practice Address - Fax:716-655-6854
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY193741207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY193741OtherLICENSE
NYBS2994235OtherDEA
NYBS2994235OtherDEA