Individual
DR. PAUL L BERNSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 922-4707
(585) 922-5223
Mailing address
400 COLUMBUS AVE, CREDENTIALING SPECIALIST, NEW HAVEN, CT 06519-1233
(203) 503-3174
(203) 503-3183
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
199600
NY
207RN0300X
Nephrology Physician
Primary
31557
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01568905
—
NY
Enumeration date
06/02/2006
Last updated
06/24/2021
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