Individual
STEPHEN R BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 HOWELLS RD, SUITE A, BAY SHORE, NY 11706-5309
(631) 666-2808
(631) 666-3097
Mailing address
340 HOWELLS RD, SUITE A, BAY SHORE, NY 11706-5309
(631) 666-2808
(631) 666-3097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
204772
NY
207RN0300X
Nephrology Physician
Primary
204772
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01856422
—
NY
Enumeration date
09/25/2006
Last updated
11/24/2009
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