Provider Demographics
NPI:1578628244
Name:STERNBERG, NAOMI (MS)
Entity Type:Individual
Prefix:MRS
First Name:NAOMI
Middle Name:
Last Name:STERNBERG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1964 E 37TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-4804
Mailing Address - Country:US
Mailing Address - Phone:917-385-8636
Mailing Address - Fax:718-339-2558
Practice Address - Street 1:1964 E 37TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-4804
Practice Address - Country:US
Practice Address - Phone:917-385-8636
Practice Address - Fax:718-339-2558
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000064101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health