Provider Demographics
NPI:1215375969
Name:BERNANKE, JOEL A (MD MSC)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:A
Last Name:BERNANKE
Suffix:
Gender:M
Credentials:MD MSC
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Mailing Address - Street 1:26 COURT ST
Mailing Address - Street 2:SUITE 409, OFFICE 4
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11242
Mailing Address - Country:US
Mailing Address - Phone:917-970-7252
Mailing Address - Fax:917-970-9418
Practice Address - Street 1:26 COURT ST
Practice Address - Street 2:SUITE 409, OFFICE 4
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11242
Practice Address - Country:US
Practice Address - Phone:917-970-7252
Practice Address - Fax:917-970-9418
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2022-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
DCMD2100016472084P0800X
MDD929642084P0800X
VA01012741292084P0800X
NY2762862084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry