Provider Demographics
NPI:1609906429
Name:STERNBERG, VICTOR MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:MICHAEL
Last Name:STERNBERG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 N STATE RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1459
Mailing Address - Country:US
Mailing Address - Phone:914-762-1885
Mailing Address - Fax:914-762-1880
Practice Address - Street 1:141 N STATE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1459
Practice Address - Country:US
Practice Address - Phone:914-762-1885
Practice Address - Fax:914-762-1880
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY283971223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics