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NPI Code Detail

MEDICARE: MS. ALYSSA BERNSTEIN LCSW

MEDICARE: MS. ALYSSA BERNSTEIN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker094877NY
21041C0700XClinical Social Worker090933-01NY

General Provider Information

NPI Number : 1649637430
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALYSSA BERNSTEIN LCSW
Provider Business Mailing Address
First Line : 114 W 136TH ST APT 1
Second Line :
City : NEW YORK
State : NY
Zip : 10030-2889
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3 COLUMBUS CIR STE 1425
Second Line :
City : NEW YORK
State : NY
Zip : 10019-8720
Country : US
Telephone Number : 212-342-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2016
Last Update Date : 03/04/2022

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