Provider Demographics
NPI:1407319445
Name:STERNE, ELIZA (RD, CDE,CDN)
Entity Type:Individual
Prefix:
First Name:ELIZA
Middle Name:
Last Name:STERNE
Suffix:
Gender:F
Credentials:RD, CDE,CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 BATTERY PL APT 25K
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10280-1329
Mailing Address - Country:US
Mailing Address - Phone:203-247-0145
Mailing Address - Fax:
Practice Address - Street 1:99 BATTERY PL APT 25K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10280-1329
Practice Address - Country:US
Practice Address - Phone:203-247-0145
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-08
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008652133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered