Berlin, Kim J

Berlin, Kim J is an individual health care provider with primary practice located at 830 Atlantic Ave , Baldwin NY 11510-4098. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Berlin, Kim J can be contacted via phone (516) 623-4580.

Contact Information

Primary practice address
830 Atlantic Ave Baldwin NY 11510-4098
Phone: (516) 623-4580
Fax: (516) 623-4588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N3156 New York

Profile Details

NPI number 1568444040
LBN Legal business name Berlin, Kim J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 8th, 2007 - about 17 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 1568444040 NPPES
New York MEDICAID 00490120

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