Healthcare Provider Details

I. General information

NPI: 1164066593
Provider Name (Legal Business Name): NECHAMA STERN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2019
Last Update Date: 10/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 SHERRI LN
SPRING VALLEY NY
10977-1309
US

IV. Provider business mailing address

13 SHERRI LN
SPRING VALLEY NY
10977-1309
US

V. Phone/Fax

Practice location:
  • Phone: 917-923-3424
  • Fax:
Mailing address:
  • Phone: 917-923-3424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number857839
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: