Provider Demographics
NPI:1326047978
Name:GERSTMAN, STEPHEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:GERSTMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 N BROADWAY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:NY
Mailing Address - Zip Code:10591-2657
Mailing Address - Country:US
Mailing Address - Phone:914-631-5217
Mailing Address - Fax:914-332-4461
Practice Address - Street 1:245 N BROADWAY
Practice Address - Street 2:SUITE 108
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:NY
Practice Address - Zip Code:10591-2657
Practice Address - Country:US
Practice Address - Phone:914-631-5217
Practice Address - Fax:914-332-4461
Is Sole Proprietor?:No
Enumeration Date:2005-07-16
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice