Bernardini, Gary Leo

Bernardini, Gary Leo is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bernardini, Gary Leo can be contacted via phone (518) 262-5226.

Contact Information

Primary practice address
47 New Scotland Ave Albany NY 12208-3412
Phone: (518) 262-5226
Fax: (518) 262-5041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 194958 New York

Profile Details

NPI number 1417957713
LBN Legal business name Bernardini, Gary Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417957713 NPPES
New York MEDICAID 01673601

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