Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TUV004755-1 | NY |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TUV004755-1 | NY |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | TUV004755-1 | NY |
N | 152WP0200X | Pediatric Optomitrist | TUV004755-1 | NY |
N | 152WS0006X | Sports Vision | TUV004755-1 | NY |
N | 152WX0102X | Occupational Vision | TUV004755-1 | NY |
NPI | 1215997937 |
---|---|
Provider Name | Dr. Paul R Bernstein |
First Address | White Plains, NY 10604-3002 |
Second Address | White Plains, NY 10604-3002 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 17/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1215997937 | NPI (01) | NY |
T89825 | (02) | NY |