Provider Demographics
NPI:1275542052
Name:STERNSTEIN, HILLEL (LCSW)
Entity Type:Individual
Prefix:MR
First Name:HILLEL
Middle Name:
Last Name:STERNSTEIN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 CENTRAL AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-8507
Mailing Address - Country:US
Mailing Address - Phone:516-293-4665
Mailing Address - Fax:516-584-9282
Practice Address - Street 1:290 CENTRAL AVE STE 108
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-8507
Practice Address - Country:US
Practice Address - Phone:516-293-4665
Practice Address - Fax:516-584-9282
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR033784104100000X
NY0337841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN61401Medicare ID - Type Unspecified