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:
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Health care specialties

SpecialtyCodeLicense #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 14 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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