Individual
DR. LARRY JAY BERNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7235 112TH ST, PR-5, FOREST HILLS, NY 11375-5469
(718) 544-6641
(718) 544-6656
Mailing address
7050 173RD ST, FRESH MEADOWS, NY 11365-3450
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
143184
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00790836
—
NY
Enumeration date
10/20/2005
Last updated
04/15/2008
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