Provider Demographics
NPI:1346335049
Name:BERNSTEIN, EDITH HECHT (MSW)
Entity Type:Individual
Prefix:MS
First Name:EDITH
Middle Name:HECHT
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 SHIREWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14625-2132
Mailing Address - Country:US
Mailing Address - Phone:585-385-2650
Mailing Address - Fax:585-385-0427
Practice Address - Street 1:624A PITTSFORD VICTOR RD
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-3934
Practice Address - Country:US
Practice Address - Phone:585-586-5830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO31394-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health