Physician Compare National (NPI:1063499507)

HEALTHCARE PROVIDER: ALLA BERNSHTEYN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1063499507
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6103874516
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20091230000317
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BERNSHTEYN
	Individual professional last name
Provider First Name	ALLA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GERIATRIC MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	PROHEALTH PHYSICIANS PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1355246950
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	295
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2560 DIXWELL AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	2B
	Group Practice or individual's line 2 address
City	HAMDEN
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	065141852
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2032302546
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070022
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	YALE-NEW HAVEN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y