Provider Demographics
NPI:1114944550
Name:STERN, TONI ASHAKE (MD)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:ASHAKE
Last Name:STERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:ASHAKE
Other - Last Name:OLASEWERE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MS
Mailing Address - Street 1:2601 OCEAN PKWY
Mailing Address - Street 2:OFFICE 8N54
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-7745
Mailing Address - Country:US
Mailing Address - Phone:718-616-3256
Mailing Address - Fax:718-616-3260
Practice Address - Street 1:2601 OCEAN PKWY
Practice Address - Street 2:OFFICE 8N54
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-7745
Practice Address - Country:US
Practice Address - Phone:718-616-3256
Practice Address - Fax:718-616-3260
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY216825207V00000X
ME018297207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY570E01Medicare ID - Type Unspecified
NYH71637Medicare UPIN