MEDICARE: DANIEL HARRIS STERN RPH

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
1	183500000X	Pharmacist	032777-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	032777-1	OTHER	NY	LICENSE

General Provider Information

NPI Number	:	1518145770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL HARRIS STERN RPH

Provider Business Mailing Address
First Line	:	130 MIDLAND AVE
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-4916
Country	:	US
Telephone Number	:	914-937-0996
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 MIDLAND AVE
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-4916
Country	:	US
Telephone Number	:	914-937-0996
Fax Number	:	914-937-5015

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2008
Last Update Date	:	07/20/2009

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