Provider Demographics
NPI:1073823852
Name:BERNARDINI, BRITTNEY MORGAN (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:MORGAN
Last Name:BERNARDINI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:MORGAN
Other - Last Name:WOLFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58 RIDGE ST
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-1705
Mailing Address - Country:US
Mailing Address - Phone:609-703-8565
Mailing Address - Fax:
Practice Address - Street 1:58 RIDGE ST
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NJ
Practice Address - Zip Code:10709
Practice Address - Country:US
Practice Address - Phone:609-703-8565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY23 014363363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant