Individual
JOSEPH BERNADOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2640 PITKIN AVE, BROOKLYN, NY 11208-2629
(718) 827-8700
(718) 827-8848
Mailing address
57 WILLOUGHBY ST, 2ND FL, BROOKLYN, NY 11201-5290
(212) 645-8111
(212) 645-8750
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
151875
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE NUMBER
151875
NY
Enumeration date
08/19/2006
Last updated
07/08/2007
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