Berkowitz, Dov J

Berkowitz, Dov J is an sole proprietor health care provider with primary practice located at 8002 Kew Gardens Rd 5-Th Floor, Kew Gardens NY 11415-3600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Berkowitz, Dov J can be contacted via phone (718) 575-5454.

Contact Information

Primary practice address
8002 Kew Gardens Rd 5-Th Floor Kew Gardens NY 11415-3600
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 152385-1 New York
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 25MA09367300 New Jersey

Profile Details

NPI number 1255769519
LBN Legal business name Berkowitz, Dov J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2013
Last updated Oct 24th, 2013 - about 11 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 1255769519 NPPES
New York MEDICAID 00826480

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