Individual
MICHAEL BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-4408
(718) 616-4105
Mailing address
265 ARKANSAS DR, BROOKLYN, NY 11234-6901
(212) 410-6248
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
174989-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01326916
—
NY
Enumeration date
08/10/2006
Last updated
07/08/2007
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