Provider Demographics
NPI:1700145695
Name:STERNBERG, GABRIELLE (MA, NCSP)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELLE
Middle Name:
Last Name:STERNBERG
Suffix:
Gender:F
Credentials:MA, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 WEST 24TH STREET
Mailing Address - Street 2:29D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:917-749-7371
Mailing Address - Fax:
Practice Address - Street 1:77 WEST 24TH STREET
Practice Address - Street 2:29D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-3209
Practice Address - Country:US
Practice Address - Phone:917-749-7371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool