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General NPI Number Information
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NPI Number | 1467905976
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Entity Type | Organization
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Legal Business Name | JEFFREY M. BERNSTEIN, M.D., PLLC
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 1529 HEWLETT AVE
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City | HEWLETT
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State | NY
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Zip | 11557-1511
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Country | US
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Telephone | 516-987-4156
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Fax |
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Provider Business Mailing Address
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Address Line | 1529 HEWLETT AVE
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City | HEWLETT
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State | NY
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Zip | 11557-1511
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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 | PRESIDENT
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Name | DR. JEFFREY MARK BERNSTEIN
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Credential |
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Telephone | 516-987-4156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 205001
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License Number State | NY
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