Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 001557-1 | NY |
NPI | 1205224045 |
---|---|
Provider Name | Jane Sterling |
First Address | Great Neck, NY 11021-5340 |
Second Address | Great Neck, NY 11021-5340 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/01/2015 |
Last Update Date | 01/01/2015 |