Provider Demographics
NPI:1598240194
Name:STERNBACH, SCOTT (RDCS)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:STERNBACH
Suffix:
Gender:M
Credentials:RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1435 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4808
Mailing Address - Country:US
Mailing Address - Phone:516-369-7136
Mailing Address - Fax:
Practice Address - Street 1:1435 SHERWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:EAST MEADOW
Practice Address - State:NY
Practice Address - Zip Code:11554-1155
Practice Address - Country:US
Practice Address - Phone:516-369-7136
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-28
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY38754246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography