Healthcare Provider Details

I. General information

NPI: 1063079937
Provider Name (Legal Business Name): DANIELLE HANNA STERN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2019
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 E 10TH ST APT 1A
NEW YORK NY
10003-5931
US

IV. Provider business mailing address

15 E 10TH ST APT 1A
NEW YORK NY
10003-5931
US

V. Phone/Fax

Practice location:
  • Phone: 929-569-5115
  • Fax: 929-581-7057
Mailing address:
  • Phone: 929-569-5115
  • Fax: 929-581-7057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number036158254
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number322857
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: