Provider Information for 1063684975
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
VIRGINIA FRASER STERN LCSW-R
Sex: Female
NPI: 1063684975
Last Updated: 2022-06-13
Certification Date: 2022-06-13
Certification Date: 2022-06-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1063684975 | ||||||||
| Enumeration Date | 2008-03-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 17 W 71ST ST APT 3C NEW YORK, NY 10023-4141 United States Phone: 917-992-5571 | Fax: | ||||||||
| Primary Practice Address | 17 W 71ST ST APT 3C NEW YORK, NY 10023-4141 United States Phone: 917-992-5571 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|