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NPI Code Detail

MEDICARE: LISA BERNSTEIN

MEDICARE: LISA BERNSTEIN
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
1104100000XSocial Worker078605-1NY

General Provider Information

NPI Number : 1962823740
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA BERNSTEIN
Provider Business Mailing Address
First Line : 183-02 UNION TPKE
Second Line :
City : FLUSHING
State : NY
Zip : 11366-1623
Country : US
Telephone Number : 718-969-3944
Fax Number :
Provider Business Practice Location Address
First Line : 18302 UNION TPKE
Second Line :
City : FLUSHING
State : NY
Zip : 11366-1623
Country : US
Telephone Number : 718-969-3944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2013
Last Update Date : 12/23/2013

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Directions to “ LISA BERNSTEIN ” Practice Location

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