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NPI Code Detail

MEDICARE: AMY BERNSTEIN LCSW

MEDICARE: AMY BERNSTEIN LCSW
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
11041C0700XClinical Social Worker053613NY

General Provider Information

NPI Number : 1457373839
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY BERNSTEIN LCSW
Provider Business Mailing Address
First Line : PO BOX 529
Second Line :
City : CROSS RIVER
State : NY
Zip : 10518-0529
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 MAPLE HILL ST
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-4176
Country : US
Telephone Number : 914-962-5593
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 10/16/2007

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