Provider Demographics
NPI:1821351495
Name:BERSHADSKY, RONA LEE (MS, ED)
Entity Type:Individual
Prefix:MS
First Name:RONA
Middle Name:LEE
Last Name:BERSHADSKY
Suffix:
Gender:F
Credentials:MS, ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2602 AVENUE X
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2002
Mailing Address - Country:US
Mailing Address - Phone:917-753-9123
Mailing Address - Fax:
Practice Address - Street 1:2602 AVENUE X
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2002
Practice Address - Country:US
Practice Address - Phone:917-753-9123
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-19
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist