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Individual

ILYA BERNSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-7000
Mailing address
37 CONSELYEA ST APT 3R, BROOKLYN, NY 11211-2271
(805) 341-8387

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
F431017
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406248
NY

Other

Enumeration date
08/03/2016
Last updated
10/14/2024
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