Individual
KUNSOOK S. BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, NP
Contact information
Practice address
3321 HARBOR POINT RD, BALDWIN, NY 11510-5164
(516) 456-7512
Mailing address
3321 HARBOR POINT RD, BALDWIN, NY 11510-5164
(516) 456-7512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
400473-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02061347
—
NY
01
—
G300080043
MEDICARE ID
NY
Enumeration date
10/12/2005
Last updated
11/28/2012
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