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
Fax: (718) 653-8641
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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