Individual
GARY BERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 WATERS PL, BRONX, NY 10461-2723
(917) 299-1467
(718) 944-7116
Mailing address
1500 WATERS PL, BRONX, NY 10461-2723
(917) 299-1467
(718) 944-7116
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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