1679799878 NPI number — DR. RICHARD IRA STERNBERG PH.D., DABFE, DACFE

Table of content: DR. RICHARD IRA STERNBERG PH.D., DABFE, DACFE (NPI 1679799878)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679799878 NPI number — DR. RICHARD IRA STERNBERG PH.D., DABFE, DACFE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STERNBERG
Provider First Name:
RICHARD
Provider Middle Name:
IRA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., DABFE, DACFE
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679799878
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/26/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
308 HEATHCOTE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SCARSDALE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10583-7106
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-472-2914
Provider Business Mailing Address Fax Number:
914-472-2914

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 FIFTH STREET
Provider Second Line Business Practice Location Address:
THE PENTHOUSE
Provider Business Practice Location Address City Name:
STAMFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06905-5030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-359-4777
Provider Business Practice Location Address Fax Number:
914-472-2914
Provider Enumeration Date:
04/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  754 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103TF0200X , with the licence number: 1631 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 173000000X , with the licence number: 21212 ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103TS0200X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 754 . This is a "LICENSE" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 1631 . This is a "LICENSE" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 21212 . This is a "FORENSIC EXAMINER" identifier . This identifiers is of the category "OTHER".




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