Kimberly Berman, DO | |
355 Bard Ave Dept Of, Staten Island, NY 10310-1664 | |
(718) 818-2419 | |
Not Available |
Full Name | Kimberly Berman |
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Gender | Female |
Speciality | Hospitalist |
Location | 355 Bard Ave Dept Of, Staten Island, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346878543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 328453 (New York) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (New York) | Secondary |
Entity Name | New York Medical Physician Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578316501 PECOS PAC ID: 6709226350 Enrollment ID: O20240430000132 |
Mailing Address | Practice Location Address |
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Kimberly Berman, DO 355 Bard Ave Dept Of, Staten Island, NY 10310-1664 Ph: () - | Kimberly Berman, DO 355 Bard Ave Dept Of, Staten Island, NY 10310-1664 Ph: (718) 818-2419 |
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