Provider Demographics
NPI:1861448193
Name:STERNER, DAWN (NP)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:STERNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 SENECA ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HORNELL
Mailing Address - State:NY
Mailing Address - Zip Code:14843-1335
Mailing Address - Country:US
Mailing Address - Phone:607-324-0660
Mailing Address - Fax:607-324-0660
Practice Address - Street 1:181 SENECA ST STE 2
Practice Address - Street 2:
Practice Address - City:HORNELL
Practice Address - State:NY
Practice Address - Zip Code:14843-1335
Practice Address - Country:US
Practice Address - Phone:607-324-0660
Practice Address - Fax:607-324-0660
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-26
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF332315-1363L00000X
NY332315363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01878688Medicaid
NYBB2388Medicare ID - Type Unspecified
NYS64717Medicare UPIN