Provider Demographics
NPI:1811996549
Name:BERNSTEIN ALLERGY GROUP INC
Entity type:Organization
Organization Name:BERNSTEIN ALLERGY GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER - VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-931-0775
Mailing Address - Street 1:4665 E GALBRAITH RD FL 2
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2783
Mailing Address - Country:US
Mailing Address - Phone:513-931-0775
Mailing Address - Fax:513-931-0779
Practice Address - Street 1:4665 E GALBRAITH RD FL 2
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2783
Practice Address - Country:US
Practice Address - Phone:513-931-0775
Practice Address - Fax:513-931-0779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-15
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00757960207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty