Organization Name: | STERN-PSYCHOLOGY P.C. |
NPI Number: | 1194906057 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARC B STERNBERG (PERSIDENT) |
Mailing Address: | 21422 73rd Ave Oakland Gardens |
State: | NY US |
Postal Code: | 113642914 |
Phone Number: | 7184644444 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2007 |
NPI Last Update Date: | 06/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 005795 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |