Provider Demographics
NPI:1144516006
Name:STERNBACH, SAMMI G (CNM)
Entity type:Individual
Prefix:
First Name:SAMMI
Middle Name:G
Last Name:STERNBACH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:SAMMI
Other - Middle Name:
Other - Last Name:GRUNSPAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:86 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-3603
Mailing Address - Country:US
Mailing Address - Phone:216-470-3167
Mailing Address - Fax:
Practice Address - Street 1:752 PARK AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3900
Practice Address - Country:US
Practice Address - Phone:631-351-2415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-20
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY631196163W00000X
NY001923367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse