Individual
DR. MICHELLE STERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 PELHAM PKWY S, BUILDING 1 4 SOUTH ROOM 12, BRONX, NY 10461-1138
(718) 918-5545
(718) 918-7906
Mailing address
1400 PELHAM PKWY S, BUILDING 1 4 SOUTH ROOM 12, BRONX, NY 10461-1138
(718) 918-5545
(718) 918-7906
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
194678-1
NY
225400000X
Rehabilitation Practitioner
197678-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01659883
—
NY
Enumeration date
02/21/2007
Last updated
11/14/2013
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