Individual
KATHLEEN LILE BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3360 ROUTE 343, AMENIA, NY 12501-5619
(845) 838-7038
(845) 373-6028
Mailing address
99 W SHORE RD, NEW PRESTON, CT 06777-1410
(212) 241-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
291422
NY
207Q00000X
Family Medicine Physician
73147
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291422
NY LICENSE
NY
Enumeration date
04/08/2015
Last updated
04/29/2025
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