Individual
BEAU BERNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 BI COUNTY BLVD, FARMINGDALE, NY 11735-3988
(718) 264-1640
Mailing address
500 BI COUNTY BLVD, FARMINGDALE, NY 11735-3988
(718) 264-1640
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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