National Provider Identifier
Bernard Member, M.D.
Bernard Member, M.D. is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician in Ithaca, NY and a listed phone number of (804) 339-2105.
Profile Overview
- NPI
- 1750526570
- Provider Type
- Individual
- Primary Specialty
- Child & Adolescent Psychiatry Physician
- Enumeration Date
- December 08, 2008
- Last Updated
- January 05, 2012
Practice Location
- 103 W Seneca St
- Suite 303C
- Ithaca, NY 14850-4145
Phone: (804) 339-2105
Specialties
- Child & Adolescent Psychiatry Physician (2084P0804X)
- Psychiatry Physician (2084P0800X)
Full Record
- NPI
- 1750526570
- Entity Type
- Individual
- Last Name
- Member
- First Name
- Bernard
- Credential
- M.D.
- Mailing Street Address
- 103 W Seneca St
- Mailing Address Line 2
- Suite 303C
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4145
- Mailing Country
- US
- Mailing Phone
- (804) 339-2105
- Practice Street Address
- 103 W Seneca St
- Practice Address Line 2
- Suite 303C
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4145
- Practice Country
- US
- Practice Phone
- (804) 339-2105
- Enumeration Date
- December 08, 2008
- Last Updated
- January 05, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Child & Adolescent Psychiatry Physician (2084P0804X), Psychiatry Physician (2084P0800X)