Provider Demographics
NPI:1033365572
Name:STERNFELD, KENNETH ROY (RPH)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:ROY
Last Name:STERNFELD
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 MICHELLE DR
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1831
Mailing Address - Country:US
Mailing Address - Phone:516-933-7424
Mailing Address - Fax:516-342-9242
Practice Address - Street 1:91 MICHELLE DR
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-1831
Practice Address - Country:US
Practice Address - Phone:516-933-7424
Practice Address - Fax:516-342-9242
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0032639183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist