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General NPI Number Information
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NPI Number | 1265771406
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Entity Type | Individual
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Provider Name | BERNADETTE L MAYERS NP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2013
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 12630 146TH ST FL 8
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11436-1910
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Country | US
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Telephone | 347-731-1563
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Fax |
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Provider Business Mailing Address
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Address Line | 12630 146TH ST
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City | SOUTH OZONE PARK
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State | NY
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Zip | 11436-1910
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 340873
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 405167
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 306284
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License Number State | NY
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