Provider Demographics
NPI:1285983692
Name:STERN, SARA E (SPECIAL EDUCATOR)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:E
Last Name:STERN
Suffix:
Gender:F
Credentials:SPECIAL EDUCATOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HICKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-5408
Mailing Address - Country:US
Mailing Address - Phone:347-752-2114
Mailing Address - Fax:
Practice Address - Street 1:333 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-5408
Practice Address - Country:US
Practice Address - Phone:347-752-2114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-30
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist