Provider Demographics
NPI:1992885743
Name:STERNLIEB, CHERYL M (MD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:M
Last Name:STERNLIEB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3 EAST 68TH STREET
Mailing Address - Street 2:SUITE 1H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4903
Mailing Address - Country:US
Mailing Address - Phone:212-988-5909
Mailing Address - Fax:212-988-5915
Practice Address - Street 1:3 E 68TH ST
Practice Address - Street 2:1H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4903
Practice Address - Country:US
Practice Address - Phone:212-988-5909
Practice Address - Fax:212-988-5915
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY096617207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY435891Medicare ID - Type Unspecified
NYB14606Medicare UPIN