Individual
BERNADETTE L MAYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12630 146TH ST FL 8, SOUTH OZONE PARK, NY 11436-1910
(347) 731-1563
Mailing address
12630 146TH ST, SOUTH OZONE PARK, NY 11436-1910
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
306284
NY
363LG0600X
Gerontology Nurse Practitioner
340873
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
405167
NY
Other
Enumeration date
02/07/2013
Last updated
12/29/2025
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