MEDICARE: DR. ALEXANDRA STERN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	187242	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265432066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDRA STERN MD

Provider Business Mailing Address
First Line	:	2825 JACKSON AVE FL 2
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-2920
Country	:	US
Telephone Number	:	646-962-5558
Fax Number	:	646-962-0186

Provider Business Practice Location Address
First Line	:	2825 JACKSON AVE FL 2
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11101-2920
Country	:	US
Telephone Number	:	646-962-5558
Fax Number	:	646-962-0186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	07/11/2024

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