Healthcare Provider Details

I. General information

NPI: 1932561008
Provider Name (Legal Business Name): VALENTINA STERLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2016
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E 66TH ST
NEW YORK NY
10065-6800
US

IV. Provider business mailing address

1749 STUART ST
BROOKLYN NY
11229-2631
US

V. Phone/Fax

Practice location:
  • Phone: 646-888-5243
  • Fax: 646-888-4917
Mailing address:
  • Phone: 718-974-1363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number33 339004
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: