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General NPI Number Information
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NPI Number | 1215115126
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Entity Type | Organization
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Legal Business Name | PATRICIA BERNSTEIN PSYD PC
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 03/16/2016
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Provider Practice Location Address
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Address Line | 27 PROSPECT PARK W
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City | BROOKLYN
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State | NY
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Zip | 11215-1706
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Country | US
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Telephone | 719-331-8362
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Fax |
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Provider Business Mailing Address
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Address Line | 27 PROSPECT PARK WEST
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City | BROOKLYN
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State | NY
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Zip | 11215-3344
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Country | US
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Telephone | 719-331-8362
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICIA ANN BERNSTEIN
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Credential | PSYD
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Telephone | 719-331-8362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 2443
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License Number State | CO
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