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EVAN BERWIN BEDERMAN L.M.H.C.
NPI 1164692182
Counselor - Mental Health in Rego Park, NY

Active since March 05, 2008
9850 67TH AVE, APT. 3H, REGO PARK, NY 11374(917) 488-2073 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Evan Berwin Bederman L.m.h.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVAN BERWIN BEDERMAN L.M.H.C. (NPI 1164692182) is an individual mental health provider in Rego Park, New York, licensed in New York (003023-1) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1164692182
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEVAN BERWIN BEDERMANCredential: L.M.H.C.
Location Address9850 67TH AVE, APT. 3HRego Park, NY 11374-4965
Mailing Address9850 67th Ave, Apt. 3hRego Park, NY 11374-4965 · (917) 488-2073
Phone(917) 488-2073
Sole ProprietorNo
Enumeration DateMarch 5, 2008
Last NPPES UpdateOctober 27, 2014
✔ NPI 1164692182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 003023-1
9850 67TH AVE, Rego Park, NY 11374
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCIO ELENA RUIZ
Counselor
9850 67TH AVE
REGO PARK, NY 11374
Queens County (718) 275-5856

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evan Bederman's NPI number?

The NPI number for Evan Bederman is 1164692182. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Evan Bederman located?

Evan Bederman practices at 9850 67th Ave Apt. 3H, Rego Park, NY 11374. The listed phone number is (917) 488-2073.

What is Evan Bederman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Evan Bederman was last updated on October 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.