Provider Demographics
NPI:1952687097
Name:STERMAN, DINA PIA (PT)
Entity Type:Individual
Prefix:MRS
First Name:DINA
Middle Name:PIA
Last Name:STERMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 SEACORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3216
Mailing Address - Country:US
Mailing Address - Phone:914-654-9594
Mailing Address - Fax:
Practice Address - Street 1:67 SEACORD RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-3216
Practice Address - Country:US
Practice Address - Phone:914-654-9594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01395326Medicaid