# PETRA BERNARD LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275058224
- **Authorized official:** MS. PETRA BERNARD MS.ED. (THERAPIST)
- **Authorized official phone:** (917) 495-7129

## Contact information

- **Practice address:** 303 E 83RD ST, NEW YORK, NY 10028-4318
- **Practice address phone:** (917) 495-7129
- **Mailing address:** 350 CANAL ST UNIT 306, NEW YORK, NY 10013-9412
- **Mailing address phone:** (917) 495-7129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251300000X | Local Education Agency (LEA) | 100646935 | NY | — |
| 252Y00000X | Early Intervention Provider Agency | 100646935 | NY | Yes |

## Other

- **Enumeration date:** 08/11/2017
- **Last updated:** 08/11/2017