Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 186726 | NY |
NPI | 1184730699 |
---|---|
Provider Name | Martin Sternberg |
First Address | Newark, NJ 07101-4800 |
Second Address | Brooklyn, NY 11220-2559 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 07/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01601665 | (05) | NY |
G17143 | (02) |