Provider Demographics
NPI:1194778332
Name:PASQUARIELLA, BERNARD (LMHC)
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:
Last Name:PASQUARIELLA
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 HENRY HUDSON PKWY
Mailing Address - Street 2:THE WHITEHALL, SUITE 1D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-3224
Mailing Address - Country:US
Mailing Address - Phone:917-805-3955
Mailing Address - Fax:
Practice Address - Street 1:3333 HENRY HUDSON PKWY
Practice Address - Street 2:THE WHITEHALL, SUITE 1D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-3224
Practice Address - Country:US
Practice Address - Phone:917-805-3955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001623101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00355940OtherAGENCY MEDICAID #
NY1285628552OtherJDAM NPI
NY001623OtherNYS LICENSE #
NY00355940OtherAGENCY MEDICAID #