Organization
PAUL B BERNSTEIN DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL BARRY BERNSTEIN DPM (PRESIDENT)
(516) 795-9030
Entity
Organization
Contact information
Practice address
4200 SUNRISE HWY, MASSAPEQUA, NY 11758-5303
(516) 795-9030
Mailing address
4200 SUNRISE HWY, MASSAPEQUA, NY 11758-5303
(516) 795-9030
(516) 513-1605
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0056997
GHI
NY
01
—
P3890
EMPIRE BLUE CROSS
NY
01
—
P494692
OXFORD
NY
Enumeration date
10/06/2006
Last updated
05/30/2008
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