Provider Demographics
NPI:1275627218
Name:STEMERMAN, DAVID HUGH (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HUGH
Last Name:STEMERMAN
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 1:21 BRITE AVE
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2338
Mailing Address - Country:US
Mailing Address - Phone:914-815-1148
Mailing Address - Fax:914-722-6882
Practice Address - Street 1:21 BRITE AVE
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2338
Practice Address - Country:US
Practice Address - Phone:914-815-1148
Practice Address - Fax:914-722-6882
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206395-12085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02003529Medicaid
NY609201Medicare ID - Type Unspecified
NYG48808Medicare UPIN