Provider Demographics
NPI:1700147634
Name:STERLING, GINA F
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:F
Last Name:STERLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MEMORIAL HIGHWAY APT. 25M
Mailing Address - Street 2:APT. 25M
Mailing Address - City:NEW ROCHELLE,
Mailing Address - State:NY
Mailing Address - Zip Code:10801
Mailing Address - Country:UM
Mailing Address - Phone:646-228-4432
Mailing Address - Fax:914-205-3493
Practice Address - Street 1:40 MEMORIAL HIGHWAY APT. 25M
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE,
Practice Address - State:USA
Practice Address - Zip Code:10801
Practice Address - Country:UM
Practice Address - Phone:646-228-4432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1926534174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist