Provider Demographics
NPI:1821165317
Name:STERNMAN, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:STERNMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 WEST 60TH STREET
Mailing Address - Street 2:SUITE AN(BASEMENT)
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:212-586-1111
Mailing Address - Fax:646-478-8829
Practice Address - Street 1:30 WEST 60TH STREET
Practice Address - Street 2:SUITE AN(BASEMENT)
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-586-1111
Practice Address - Fax:646-478-8829
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1552822084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00884331Medicaid
NYB58703Medicare UPIN
NYW89091Medicare ID - Type UnspecifiedGROUP MEDICARE NUMBER
NY66D061Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE