Berliner, Randall G
Berliner, Randall G is an sole proprietor health care provider with primary practice located at 4234-1 Bronx Blvd , Bronx NY 10466-2668. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Berliner, Randall G can be contacted via phone (718) 515-4347.Contact Information
Primary practice address
4234-1 Bronx Blvd
Bronx NY 10466-2668
Phone: (718) 515-4347
Fax: (718) 653-8641
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 195905 | New York |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 195905 | New York |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 195905 | New York |
Profile Details
NPI number | 1962469809 |
---|---|
LBN Legal business name | Berliner, Randall G |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 26th, 2006 |
Last updated | Oct 24th, 2019 - about 5 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 | 1962469809 | NPPES |
New York | MEDICAID | 01638462 | |
New York | Other | 9603726003 | |
New York | Other | 134046855 | |
New York | Other | 1279657 | |
New York | Other | 231955 | |
New York | Other | P623258 | |
New York | Other | 134046855 | |
New York | Other | 10599 | |
New York | Other | 134046855 | |
New York | Other | 0H1338 | |
New York | Other | RB0476N110 | |
New York | Other | 195905 |
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