Bernard, Andrew
Bernard, Andrew is an individual health care provider with primary practice located at 387 E Main St Suite 101, Bay Shore NY 11706-8413. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Bernard, Andrew can be contacted via phone (631) 665-1325.Contact Information
Primary practice address
387 E Main St Suite 101
Bay Shore NY 11706-8413
Phone: (631) 665-1325
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 035143-1 | New York |
Profile Details
| NPI number | 1063435790 |
|---|---|
| LBN Legal business name | Bernard, Andrew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063435790 | NPPES |
| New York | Other | 035143-1 | LICENSES |
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