NPI 1003047747

Jean Luc Bernard, RPA

Practitioner Physician Assistant Astoria, NY

Practice location

Address: 4904 19th Ave, Astoria, NY 11105-1002
Phone: (718) 777-3494

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 004880 (NY)

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Registry record

NPI: 1003047747
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jul 2009
Record last updated: 29 Jul 2009

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.