Healthcare Provider Details

I. General information

NPI: 1174118665
Provider Name (Legal Business Name): BRITTANY L BERNARDI MA, ATR-BC, LCAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2021
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 5TH AVE STE 704-2112
NEW YORK NY
10001-4509
US

IV. Provider business mailing address

219 RHODE ISLAND AVE
MASSAPEQUA NY
11758-4239
US

V. Phone/Fax

Practice location:
  • Phone: 415-671-2165
  • Fax:
Mailing address:
  • Phone: 516-458-1339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number002489
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: