Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | 191349 | NY |
NPI | 1104997642 |
---|---|
Provider Name | Joseph Michael Bernstein |
First Address | White Plains, NY 10604-2907 |
Second Address | White Plains, NY 10604-2907 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2006 |
Last Update Date | 19/09/2012 |