Bercow, Neil

Bercow, Neil is an individual health care provider with primary practice located at 100 Port Washington Blvd Suite G01, Roslyn NY 11576-1353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Bercow, Neil can be contacted via phone (516) 627-2173.

Contact Information

Primary practice address
100 Port Washington Blvd Suite G01 Roslyn NY 11576-1353
Phone: (516) 627-2173
Fax: (516) 365-5813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 181817 New York

Profile Details

NPI number 1457460289
LBN Legal business name Bercow, Neil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 11th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457460289 NPPES
New York MEDICAID 01511022

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