Provider Demographics
NPI:1427221712
Name:BERNSTEIN, STEVEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:
Other - Last Name:BERNSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:1608 LEMOINE AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5622
Mailing Address - Country:US
Mailing Address - Phone:201-482-8236
Mailing Address - Fax:800-277-9009
Practice Address - Street 1:1608 LEMOINE AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5622
Practice Address - Country:US
Practice Address - Phone:201-482-8236
Practice Address - Fax:800-277-9009
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MD00307400213ES0103X
NY004537213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery