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Ilya Bernstein

Nurse Practitioner, Psych/Mental Health in New York, NY. Individual provider (NPI-1).

NPI number1982157236
StatusActive
Last updated in NPPESOct 14, 2024

Details

NPI
1982157236
Entity type
Individual (NPI-1)
Name
Ilya Bernstein
Sex
Male
Sole proprietor
No
Enumeration date
Aug 3, 2016
Certification date
Oct 14, 2024
Last updated
Oct 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental Health406248NYYes
363LA2100X Nurse Practitioner, Acute CareF431017NY

Practice location

550 1st Ave
New York, NY 10016-6402

Phone 212-263-7000

Mailing address

37 Conselyea St Apt 3r
Brooklyn, NY 11211-2271

Phone 805-341-8387

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