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
Phone: (718) 575-5454
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255769519 | NPPES |
| New York | MEDICAID | 00826480 |
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