Provider Demographics
NPI:1548206097
Name:BERNSTEIN, HELENE B (MD)
Entity Type:Individual
Prefix:
First Name:HELENE
Middle Name:B
Last Name:BERNSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 EAST ADAMS STREET
Mailing Address - Street 2:WEISKOTTEN 2105
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13210
Mailing Address - Country:US
Mailing Address - Phone:315-464-7232
Mailing Address - Fax:
Practice Address - Street 1:750 EAST ADAMS STREET
Practice Address - Street 2:WEISKOTTEN 2105
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13210
Practice Address - Country:US
Practice Address - Phone:315-464-7232
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280638207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G865490Medicaid
OH2814833Medicaid
CAH34562Medicare UPIN
OH2814833Medicaid
CAWG86549AMedicare PIN