| Doctor Name: | TRUDY STERN |
| NPI Number: | 1386782639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | F360120 |
| Business Practice Address: | 533 Meadow Dr # 2 N Tonawanda, NY - 141202835 |
| Business Phone Number: | 7166923302 |
| Business Fax Number: | 7166924342 |
| Mailing Address: | 908 Niagara Falls Blvd, Suite 208 N TONAWANDA |
| State: | NY |
| Postal Code: | 141202019 |
| Phone Number: | 7166923302 |
| Fax Number: | 7166924342 |
| NPI Enumeration Date: | 02/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | F360120 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |