Provider Demographics
NPI:1831261296
Name:BERNINGER, ANDREA VICENTE (RN, NPP)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:VICENTE
Last Name:BERNINGER
Suffix:
Gender:F
Credentials:RN, NPP
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Mailing Address - Street 1:37 CAMDEN PL
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-3601
Mailing Address - Country:US
Mailing Address - Phone:516-739-1830
Mailing Address - Fax:718-523-2728
Practice Address - Street 1:15011 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-3319
Practice Address - Country:US
Practice Address - Phone:718-739-5778
Practice Address - Fax:718-523-2728
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY467187163W00000X
NYF401165-1363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse