Provider Demographics
NPI:1457523789
Name:DAVID STERNMAN, MD, PC
Entity Type:Organization
Organization Name:DAVID STERNMAN, MD, PC
Other - Org Name:DAVID STERNMAN, MD, PC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:STERNMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-586-1111
Mailing Address - Street 1:30 WEST 60TH STREET
Mailing Address - Street 2:SUITE AN
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
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1552822084N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0008XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeuromuscular MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00884331Medicaid
NYW89091Medicare PIN
NYB58703Medicare UPIN
NY00884331Medicaid