Provider Demographics
NPI:1598262172
Name:STERN SHAVIT, SAGIT (MD)
Entity Type:Individual
Prefix:MRS
First Name:SAGIT
Middle Name:
Last Name:STERN SHAVIT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 FORT WASHINGTON AVENUE HP8-875
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-3399
Mailing Address - Fax:212-305-2249
Practice Address - Street 1:180 FORT WASHINGTON AVENUE HP8-875
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-3399
Practice Address - Fax:212-305-2249
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-10
Last Update Date:2018-11-28
Deactivation Date:2018-11-16
Deactivation Code:
Reactivation Date:2018-11-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program