MEDICARE: DR. IAN SCOTT STERN DC, CCN, CSCS

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	111NN1001X	Nutrition Chiropractor	X008519-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5804507	OTHER	NY	GHI
2	X86882	OTHER	NY	EMPIRE BCBS
3	P559457	OTHER	NY	OXFORD

General Provider Information

NPI Number	:	1881742997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IAN SCOTT STERN DC, CCN, CSCS

Provider Business Mailing Address
First Line	:	346 91ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5854
Country	:	US
Telephone Number	:	718-680-6156
Fax Number	:

Provider Business Practice Location Address
First Line	:	346 91ST ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5854
Country	:	US
Telephone Number	:	718-680-6156
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1538693163 — TATIANA KUTERGINA
Practice Location Address:

6717 FORT HAMILTON PKWY APT C5
BROOKLYN, NY
11219-5854

Practice Phone: 646-420-0909
Practice Fax:

1528784691 — TIFFERET SHABAT MSED
Practice Location Address:

2240 BURNETT ST APT 2K
BROOKLYN, NY
11229-5854

Practice Phone: 347-701-8279
Practice Fax:

1831902436 — GABRIELLE KOZA
Practice Location Address:

859 MYRTLE AVE
BROOKLYN, NY
11206-5854

Practice Phone: 718-500-3307
Practice Fax:

1013701044 — CASCADE RX LLC
Practice Location Address:

859 MYRTLE AVE FL UNIT1
BROOKLYN, NY
11206-5854

Practice Phone: 718-500-3307
Practice Fax: 718-500-3309

1629251830 — MARYLAND SPINE REHAB, LLC
Practice Location Address:

1515 MERRITT BLVD
DUNDALK, MD
21222-2113

Practice Phone: 410-285-0920
Practice Fax:

1265292460 — TRILOGY HEALTH & PERFORMANCE LLC
Practice Location Address:

2139 SILAS DEANE HWY STE 207
ROCKY HILL, CT
06067-2339

Practice Phone: 860-529-0828
Practice Fax: 860-398-5854

Directions to “ DR. IAN SCOTT STERN DC, CCN, CSCS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.