Healthcare Provider Details

I. General information

NPI: 1104303031
Provider Name (Legal Business Name): CORA NANETTE STERNBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 07/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 70TH ST # 341
NEW YORK NY
10021-9800
US

IV. Provider business mailing address

860 5TH AVE APT 8E
NEW YORK NY
10065-5861
US

V. Phone/Fax

Practice location:
  • Phone: 917-576-4345
  • Fax:
Mailing address:
  • Phone: 212-737-7154
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number134825
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: