Individual
MRS. BERNICE KORNFIELD-PREMISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3 TALLMADGE GATE, SETAUKET, NY 11733-1417
(631) 751-0196
(631) 689-9741
Mailing address
764 ROUTE 25A, SETAUKET, NY 11733-1231
(631) 751-0196
(631) 689-9741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R0310961
NY
Other
Enumeration date
07/13/2006
Last updated
08/04/2012
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