Provider Demographics
NPI:1073608691
Name:STERN, ROBERT ALLAN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:ALLAN
Last Name:STERN
Suffix:
Gender:M
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:PO BOX E
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-0750
Mailing Address - Country:US
Mailing Address - Phone:845-896-9864
Mailing Address - Fax:845-896-4319
Practice Address - Street 1:1089 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-0750
Practice Address - Country:US
Practice Address - Phone:845-896-9864
Practice Address - Fax:845-896-4319
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY131213207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYODO281OtherHEALTHNET
NY4365558OtherAETNA
NY55905OtherGHI HMO
NYDUP066OtherOXFORD
NY167124OtherMOHAWK VALLEY PLAN
NY4337804-003OtherCIGNA
NY735198OtherAETNA-HMO
NY9650428OtherGHI PPO
NY10047998OtherCDPHP
NY31A311OtherBLUE CROSS
NY735198OtherAETNA-HMO