Individual
MS. PETRA BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.ED.
Contact information
Practice address
303 E 83RD ST, 26G, NEW YORK, NY 10028-4318
(917) 495-7129
Mailing address
303 E 83RD ST, 26G, NEW YORK, NY 10028-4318
(917) 495-7129
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
19048
NY
Other
Enumeration date
04/20/2011
Last updated
04/20/2011
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