Individual
BERNISIER DESTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
14515 249TH ST, ROSEDALE, NY 11422-2508
(646) 823-4534
Mailing address
14515 249TH ST, ROSEDALE, NY 11422-2508
(646) 823-4534
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NY
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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