Provider Demographics
NPI:1922190784
Name:BERNSTEIN, LAWSON (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWSON
Middle Name:
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 W END AVE APT 18E
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-8119
Mailing Address - Country:US
Mailing Address - Phone:412-445-9588
Mailing Address - Fax:
Practice Address - Street 1:1640 OVERTON LN
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-3508
Practice Address - Country:US
Practice Address - Phone:412-445-9588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044058L174400000X
PAMD0440582084P0800X
PAMD-044058-L2084P0800X
NY1769512084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY176951OtherNYS MEDICAL LICENSE
PA679281OtherHIGHMARK BC/BS