Provider Demographics
NPI:1669489357
Name:BERNARDO, CONRADO C (RN)
Entity Type:Individual
Prefix:MR
First Name:CONRADO
Middle Name:C
Last Name:BERNARDO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:41 AMITY PL
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10303
Mailing Address - Country:US
Mailing Address - Phone:718-981-8117
Mailing Address - Fax:718-981-9344
Practice Address - Street 1:267 PORT RICHMOND AVE
Practice Address - Street 2:CAMELOT INC.
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-1704
Practice Address - Country:US
Practice Address - Phone:718-981-3136
Practice Address - Fax:718-981-6849
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3750691163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse