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1427675149
DESTINY LATOYA BERNARD
GLEN OAKS, NY
NPI
1427675149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY 403015)
Enumeration Date
2020-06-29
Last Update Date
2021-12-03
Business Address
Ms. DESTINY LATOYA BERNARD PMHNP
7559 263RD ST
GLEN OAKS, NY 11004-1100
Phone number: 718-470-8454
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Mailing Address
Ms. DESTINY LATOYA BERNARD PMHNP
7559 263RD ST
GLEN OAKS, NY 11004-1150
Phone number: 718-470-7000
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