Provider Demographics
NPI:1023391778
Name:BEHRINGER-MASSERA, STEPHANIE SUNG KATHARINA (MD)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:SUNG KATHARINA
Last Name:BEHRINGER-MASSERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 E 17TH ST FL HALL7
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3804
Mailing Address - Country:US
Mailing Address - Phone:212-420-2226
Mailing Address - Fax:212-420-2224
Practice Address - Street 1:317 E 17TH ST FL HALL7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-420-2226
Practice Address - Fax:212-420-2224
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY293360207RE0101X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program