Provider Demographics
NPI:1336471655
Name:BERNSTEIN, NAOMI SKOLNICK (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:SKOLNICK
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 HEMPSTEAD AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2400
Mailing Address - Country:US
Mailing Address - Phone:516-359-3401
Mailing Address - Fax:516-632-5034
Practice Address - Street 1:15 BOND ST
Practice Address - Street 2:SUITE 107
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2002
Practice Address - Country:US
Practice Address - Phone:516-359-5030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018483103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical