Provider Demographics
NPI:1033912944
Name:SENGSTOCK, BERNHARD JD III
Entity type:Individual
Prefix:MR
First Name:BERNHARD
Middle Name:JD
Last Name:SENGSTOCK
Suffix:III
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 THE HELM
Mailing Address - Street 2:
Mailing Address - City:EAST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11730-2916
Mailing Address - Country:US
Mailing Address - Phone:631-495-4270
Mailing Address - Fax:
Practice Address - Street 1:22 THE HELM
Practice Address - Street 2:
Practice Address - City:EAST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11730-2916
Practice Address - Country:US
Practice Address - Phone:631-495-4270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst