Healthcare Provider Details

I. General information

NPI: 1114755865
Provider Name (Legal Business Name): MICHAL STERNSCHUSS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2024
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E 89TH ST APT 8A
NEW YORK NY
10128-6710
US

IV. Provider business mailing address

401 E 89TH ST APT 8A
NEW YORK NY
10128-6710
US

V. Phone/Fax

Practice location:
  • Phone: 332-269-5398
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberP123695
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: