Provider Demographics
NPI:1770004293
Name:BERNACCHIA, NOELLE (TEACHER)
Entity Type:Individual
Prefix:MISS
First Name:NOELLE
Middle Name:
Last Name:BERNACCHIA
Suffix:
Gender:F
Credentials:TEACHER
Other - Prefix:
Other - First Name:NOELLE
Other - Middle Name:
Other - Last Name:BERNACCHIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SPECIAL NEEDSTEACHER
Mailing Address - Street 1:1 DAVID LN APT 6C
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1118
Mailing Address - Country:US
Mailing Address - Phone:914-588-0131
Mailing Address - Fax:
Practice Address - Street 1:1 DAVID LN APT 6C
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1118
Practice Address - Country:US
Practice Address - Phone:914-588-0131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist