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Individual

DR. MICHAEL STERN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
401 W END AVE, NEW YORK, NY 10024-5724
(212) 787-7492
(201) 487-6776
Mailing address
203 GRANT ST, HAWORTH, NJ 07641-1426
(201) 385-4729
(201) 487-6776

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5154
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01983393
NY
Enumeration date
12/03/2005
Last updated
01/11/2013
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