NPI 1194990150

Roberta Bernitt

Organisation Exclusive Provider Organization New York, NY

Practice location

Address: 67-30 Clyde St. -Suite a, New York, NY 11375
Phone: (917) 558-5355
Fax: (718) 520-0671
Mailing address: 6730 Clyde St Suite 2a, Forest Hills, NY 11375-4055

Authorised official

Name: Roberta Bernitt
Title: Owner
Phone: (917) 558-5355

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence R047904 (NY)

Other Exclusive Provider Organization providers in New York →

Registry record

NPI: 1194990150
Entity type: Organization
NPI issued: 29 Apr 2008
Record last updated: 3 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.