Individual
EVAN KEITH BERNSTEIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2780 MIDDLE COUNTRY RD, SUITE 140, LAKE GROVE, NY 11755-2124
(631) 580-1000
(631) 580-0483
Mailing address
2780 MIDDLE COUNTRY RD, SUITE 140, LAKE GROVE, NY 11755-2124
(631) 580-1000
(631) 580-0483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007674
NY
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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