Provider Demographics
NPI:1407189970
Name:POMARANTZ STERN, BRENDA (BRENDA STERN, LCSW)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:
Last Name:POMARANTZ STERN
Suffix:
Gender:F
Credentials:BRENDA STERN, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 QUARRY LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-1539
Mailing Address - Country:US
Mailing Address - Phone:914-234-6376
Mailing Address - Fax:
Practice Address - Street 1:73 QUARRY LN
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506-1539
Practice Address - Country:US
Practice Address - Phone:914-234-6376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPO18449-1172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker