Individual
DR. MARIE ANTOINETTE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD MPH
Contact information
Practice address
34-33 JUNCTION BLVD, 2ND FLOOR, CORONA, NY 11372
(718) 476-7635
Mailing address
125 WORTH ST, RM 901 BOY 22 NYCDOHMH DIVISION OF DISEASE CONTROL, NEW YORK, NY 10013-4006
(212) 442-8468
(212) 442-8452
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
1881801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881801
NY STATE LIC NUMBER
NY
Enumeration date
06/20/2006
Last updated
07/08/2007
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