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Individual

BERNARD PASQUARIELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMHC

Contact information

Practice address
3333 HENRY HUDSON PKWY, THE WHITEHALL, SUITE 1D, BRONX, NY 10463-3224
(917) 805-3955
Mailing address
3333 HENRY HUDSON PKWY, THE WHITEHALL, SUITE 1D, BRONX, NY 10463-3224
(917) 805-3955

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001623
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001623
NYS LICENSE #
NY
01
00355940
AGENCY MEDICAID #
NY
01
1285628552
JDAM NPI
NY
Enumeration date
05/18/2006
Last updated
11/13/2009
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