Provider Demographics
NPI:1003051236
Name:STERN, JENNIFER V (RPA)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:V
Last Name:STERN
Suffix:
Gender:F
Credentials:RPA
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Mailing Address - Street 1:51 - E 25TH ST
Mailing Address - Street 2:6TH FL
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:212-813-3632
Mailing Address - Fax:941-552-8766
Practice Address - Street 1:51 - E 25TH STREET
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-813-3632
Practice Address - Fax:941-552-8766
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2010-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY008912363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical