Provider Demographics
NPI:1386029502
Name:BERNSTEIN, MARGARET
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1277 TAYLOR RD
Mailing Address - Street 2:SUITE 33
Mailing Address - City:OWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13827-1274
Mailing Address - Country:US
Mailing Address - Phone:607-687-8929
Mailing Address - Fax:607-687-8153
Practice Address - Street 1:1277 TAYLOR RD
Practice Address - Street 2:SUITE 33
Practice Address - City:OWEGO
Practice Address - State:NY
Practice Address - Zip Code:13827-1274
Practice Address - Country:US
Practice Address - Phone:607-687-8929
Practice Address - Fax:607-687-8153
Is Sole Proprietor?:No
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071883-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker