Provider Demographics
NPI:1710026091
Name:BERNAY, LAURA JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JANE
Last Name:BERNAY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:201 E 17TH ST
Mailing Address - Street 2:APT 22B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3607
Mailing Address - Country:US
Mailing Address - Phone:212-475-2194
Mailing Address - Fax:212-420-3936
Practice Address - Street 1:10 NATHAN D PERLMAN PL
Practice Address - Street 2:2 BERNSTEIN 34
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3851
Practice Address - Country:US
Practice Address - Phone:212-420-2127
Practice Address - Fax:212-420-3936
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2014-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1794262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYE89291Medicare UPIN
NY89F891Medicare ID - Type Unspecified