Individual
CHANI MICHELLE STERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
168 HARBORVIEW N, LAWRENCE, NY 11559-1904
(917) 407-7489
Mailing address
168 HARBORVIEW N, LAWRENCE, NY 11559-1904
(917) 407-7489
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
020028
NY
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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