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Individual

MARK L BERNSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2500 ROUTE 347, BLDG 8D, STONY BROOK, NY 11790
(631) 689-7780
(631) 689-5669
Mailing address
2500 ROUTE 347, BLDG 8D, STONY BROOK, NY 11790
(631) 689-7780
(631) 689-5669

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1419400
NY
207RR0500X
Rheumatology Physician
Primary
1419400
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00710467
NY
01
4288912
AETNA
01
CP571
OXFORD HEALTHCARE
Enumeration date
07/24/2006
Last updated
06/29/2010
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