Healthcare Provider Details

I. General information

NPI: 1972599280
Provider Name (Legal Business Name): NEIL E. BERNSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2005
Last Update Date: 12/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 E 37TH ST SUITE 308
NEW YORK NY
10016-3256
US

IV. Provider business mailing address

305 E 40TH ST 15J
NEW YORK NY
10016-2189
US

V. Phone/Fax

Practice location:
  • Phone: 212-599-8331
  • Fax: 212-599-2918
Mailing address:
  • Phone: 917-757-9610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number171433
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: