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NPI Code Detail

MEDICARE: KENDALL BERNARD

MEDICARE: KENDALL BERNARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1073068185
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDALL BERNARD
Provider Business Mailing Address
First Line : 5 E 17TH ST
Second Line : SECOND FLOOR
City : NEW YORK
State : NY
Zip : 10003-1949
Country : US
Telephone Number : 212-989-2990
Fax Number :
Provider Business Practice Location Address
First Line : 5 E 17TH ST
Second Line : SECOND FLOOR
City : NEW YORK
State : NY
Zip : 10003-1949
Country : US
Telephone Number : 212-989-2990
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2016
Last Update Date : 08/18/2016

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Directions to “ KENDALL BERNARD ” Practice Location

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