Provider Demographics
NPI:1326132028
Name:MARK H. BERNSTEIN,MD INC
Entity Type:Organization
Organization Name:MARK H. BERNSTEIN,MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LUNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-674-2930
Mailing Address - Street 1:599 FARRINGTON HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2028
Mailing Address - Country:US
Mailing Address - Phone:808-674-2930
Mailing Address - Fax:808-674-2950
Practice Address - Street 1:599 FARRINGTON HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2028
Practice Address - Country:US
Practice Address - Phone:808-674-2930
Practice Address - Fax:808-674-2950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-39822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI56336Medicare ID - Type Unspecified