Provider Demographics
NPI:1831245679
Name:STERN, PENNY MAUREEN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:PENNY
Middle Name:MAUREEN
Last Name:STERN
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:16719 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1323
Mailing Address - Country:US
Mailing Address - Phone:718-380-4466
Mailing Address - Fax:718-969-4934
Practice Address - Street 1:ONE GUSTAVE L. LEVY PLACE #1059
Practice Address - Street 2:MOUNT SINAI SCHOOL OF MEDICINE
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-241-2082
Practice Address - Fax:212-241-2233
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2010-06-03
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Provider Licenses
StateLicense IDTaxonomies
NY1955022083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine