Individual
DR. SHIRA BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
122 HARRISON ST, LAWRENCE, NY 11559-1932
(516) 313-3414
Mailing address
122 HARRISON ST, LAWRENCE, NY 11559-1932
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060773
NY
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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