Provider Demographics
NPI:1558626606
Name:ZITRONENBAUM, BERNARD
Entity type:Individual
Prefix:
First Name:BERNARD
Middle Name:
Last Name:ZITRONENBAUM
Suffix:
Gender:M
Credentials:
Other - Prefix:MR
Other - First Name:BERNARD
Other - Middle Name:
Other - Last Name:ZITRONENBAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS SPECIAL ED
Mailing Address - Street 1:1458 50TH ST APT 4
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-3678
Mailing Address - Country:US
Mailing Address - Phone:718-436-1929
Mailing Address - Fax:
Practice Address - Street 1:1312 38TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3612
Practice Address - Country:US
Practice Address - Phone:718-686-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-05
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY623632121174400000X
NY001579103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist