Individual
PATRICIA BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.P.
Contact information
Practice address
2780 MIDDLE COUNTRY RD STE 306, LAKE GROVE, NY 11755-2126
(631) 981-8300
Mailing address
646 MAIN ST STE 201, PORT JEFFERSON, NY 11777-2230
(631) 981-8300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401505
NY
Other
Enumeration date
07/27/2012
Last updated
06/16/2018
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