Provider Demographics
NPI:1942262266
Name:BERNADETTE, RONA CARYN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONA
Middle Name:CARYN
Last Name:BERNADETTE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 E 39TH ST STE 503
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0448
Mailing Address - Country:US
Mailing Address - Phone:646-592-0869
Mailing Address - Fax:
Practice Address - Street 1:6 E 39TH ST
Practice Address - Street 2:SUITES 503/902
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0448
Practice Address - Country:US
Practice Address - Phone:646-592-0869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2119552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry