Provider Demographics
NPI:1538224357
Name:BERNSTEIN, STEVEN (LAC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3321 HARBOR POINT RD
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-5164
Mailing Address - Country:US
Mailing Address - Phone:516-377-6446
Mailing Address - Fax:
Practice Address - Street 1:1771 GRAND AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2429
Practice Address - Country:US
Practice Address - Phone:516-377-6446
Practice Address - Fax:516-379-3181
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001182171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist