Provider Demographics
NPI:1821149329
Name:STERN, CHRISTINE B (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:B
Last Name:STERN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:100 MIDDLE COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:CORAM
Mailing Address - State:NY
Mailing Address - Zip Code:11727-4412
Mailing Address - Country:US
Mailing Address - Phone:631-696-9636
Mailing Address - Fax:631-696-9635
Practice Address - Street 1:100 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:CORAM
Practice Address - State:NY
Practice Address - Zip Code:11727-4412
Practice Address - Country:US
Practice Address - Phone:631-696-9636
Practice Address - Fax:631-696-9635
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-13
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN004301213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY13-3487494OtherMAGNACARE
NY198508POtherHIP
NYP04461OtherBLUE CROSS & BLUE SHIELD
NY2132775OtherVYTRA HEALTH PLAN
NY4231526OtherAETNA
NYAJ45250OtherMDNY
NYPO4301-9OtherWORKER'S COMPENSATION
NY13-3487494OtherISLAND GROUP
NY13-3487494OtherTHE EMPIRE PLAN
NYCS594OtherOXFORD
NY01072068Medicaid
NY1400081OtherGHI
NY13-3487494OtherUNITED HEALTH CARE
NY480015215OtherRAIL ROAD MEDICARE
NYT51458Medicare UPIN
NY01072068Medicaid
NYP04461OtherBLUE CROSS & BLUE SHIELD