Berezow, Joel

Berezow, Joel is an individual health care provider with primary practice located at 3959 Broadway , New York NY 10032-1559. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Berezow, Joel can be contacted via phone (212) 304-7250.

Contact Information

Primary practice address
3959 Broadway New York NY 10032-1559
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 167034 New York

Profile Details

NPI number 1013995224
LBN Legal business name Berezow, Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1013995224 NPPES
New York MEDICAID 01074359

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