Individual
MS. DESTINY LATOYA BERNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
7559 263RD ST, GLEN OAKS, NY 11004-1100
(718) 470-8454
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
(718) 470-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403015
NY
Other
Enumeration date
06/29/2020
Last updated
12/03/2021
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