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NPI Code Detail

MEDICARE: NICHOLAS STERN LCSW

MEDICARE:   NICHOLAS  STERN  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerR045934-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1163639OTHERNYVALUEOPTIONS

General Provider Information

NPI Number : 1235297573
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLAS STERN LCSW
Provider Business Mailing Address
First Line : 299 RIVERSIDE DRIVE
Second Line : APT 8D
City : NEW YORK CITY
State : NY
Zip : 10025
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 119 W 57TH STREET
Second Line : SUITE 1100
City : NEW YORK CITY
State : NY
Zip : 10019
Country : US
Telephone Number : 212-666-5532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 07/08/2007

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Directions to “ NICHOLAS STERN LCSW” Practice Location

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