Individual
BETHANIE SHANA BERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
2601 OCEAN PARKWAY, ROOM 416, BROOKLYN, NY 11235
(718) 616-5373
(718) 616-5444
Mailing address
2601 OCEAN PARKWAY, ROOM 416, BROOKLYN, NY 11235
(718) 616-5373
(718) 616-5444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
694643
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
40 402093
NY
Other
Enumeration date
07/01/2016
Last updated
02/15/2017
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