Provider Demographics
NPI:1376048173
Name:MATTHEW BERNSTEIN, M.D. PLLC
Entity Type:Organization
Organization Name:MATTHEW BERNSTEIN, M.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE BILLING SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JACKIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHYPERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-956-7276
Mailing Address - Street 1:370 LEXINGTON AVE RM 1001
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6586
Mailing Address - Country:US
Mailing Address - Phone:646-868-8100
Mailing Address - Fax:
Practice Address - Street 1:370 LEXINGTON AVENUE
Practice Address - Street 2:SUITE 1001
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:646-868-8100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty