Healthcare Provider Details

I. General information

NPI: 1457523789
Provider Name (Legal Business Name): DAVID STERNMAN, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2008
Last Update Date: 02/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WEST 60TH STREET SUITE AN
NEW YORK NY
10023
US

IV. Provider business mailing address

30 WEST 60TH STREET SUITE AN
NEW YORK NY
10023
US

V. Phone/Fax

Practice location:
  • Phone: 212-586-1111
  • Fax: 646-478-8829
Mailing address:
  • Phone: 212-586-1111
  • Fax: 646-478-8829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number155282
License Number StateNY

VIII. Authorized Official

Name: DR. DAVID STERNMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 212-586-1111