Member, Bernard
Member, Bernard is an sole proprietor health care provider with primary practice located at 103 W Seneca St Suite 303C, Ithaca NY 14850-4145. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Member, Bernard can be contacted via phone (804) 339-2105.Contact Information
Primary practice address
103 W Seneca St Suite 303C
Ithaca NY 14850-4145
Phone: (804) 339-2105
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 143064 | New York |
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 143064 | New York |
Profile Details
NPI number | 1750526570 |
---|---|
LBN Legal business name | Member, Bernard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 8th, 2008 |
Last updated | Jan 5th, 2012 - about 13 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.
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