Provider Demographics
NPI:1073768628
Name:STERN, DAVID ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:ANDREW
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 1:632 PALMER RD
Mailing Address - Street 2:#3P
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5189
Mailing Address - Country:US
Mailing Address - Phone:914-338-8362
Mailing Address - Fax:
Practice Address - Street 1:632 PALMER RD
Practice Address - Street 2:#3P
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5189
Practice Address - Country:US
Practice Address - Phone:914-338-8362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2014-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2480362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry