Provider Demographics
NPI:1861586794
Name:STERNS, DAVID C (PT)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:C
Last Name:STERNS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:2495 MAIN ST
Mailing Address - Street 2:SUITE 234
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-2152
Mailing Address - Country:US
Mailing Address - Phone:716-836-5929
Mailing Address - Fax:716-836-6057
Practice Address - Street 1:2495 MAIN ST
Practice Address - Street 2:SUITE 234
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-2152
Practice Address - Country:US
Practice Address - Phone:716-836-5929
Practice Address - Fax:716-836-6057
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY011424-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6698102OtherGHI
NY000011331601OtherUNIVERA
NY01801638Medicaid
NY000612250001OtherBLUE CROSS/BLUE SHIELD
NY9308300OtherINDEPENDENT HEALTH
NY6698102OtherGHI