=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588662092
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONALD H BERNSTEIN
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/08/2005
-----------------------------------------------------
Last Update Date | 11/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 80 5TH AVE RM 1605
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10011-8010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-477-4510
-----------------------------------------------------
Fax | 212-924-4512
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 80 5TH AVE SUITE 1605
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10011-8002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-477-4510
-----------------------------------------------------
Fax | 212-420-8526
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RR0500X
-----------------------------------------------------
Taxonomy Name | Rheumatology Physician
-----------------------------------------------------
License Number | 154505
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------