MEDICARE: DR. MARTIN BERNSTEIN MD

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
1	207W00000X	Ophthalmology Physician	0077292	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	207574	OTHER	NY	WORKMENS COMPENSATION

General Provider Information

NPI Number	:	1134104326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN BERNSTEIN MD

Provider Business Mailing Address
First Line	:	1355 HUNTERBROOK RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-6227
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1355 HUNTERBROOK RD
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-6227
Country	:	US
Telephone Number	:	914-962-4545
Fax Number	:	914-962-4545

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2005
Last Update Date	:	08/17/2009

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