Individual
MR. SAMUEL BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(212) 305-5960
Mailing address
530 1ST AVE, NEW YORK, NY 10016-6402
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
271290
NY
Other
Enumeration date
05/13/2011
Last updated
03/23/2021
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