Berlyne, Suzannah Deborah

Berlyne, Suzannah Deborah is an individual health care provider with primary practice located at 125 Oceana Dr E Apt 3H, Brooklyn NY 11235-6691. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Berlyne, Suzannah Deborah can be contacted via phone (917) 532-7352.

Contact Information

Primary practice address
125 Oceana Dr E Apt 3H Brooklyn NY 11235-6691
Fax: (917) 677-4812
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 197128 New York

Profile Details

NPI number 1164599122
LBN Legal business name Berlyne, Suzannah Deborah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Mar 4th, 2010 - about 15 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 1164599122 NPPES
New York MEDICAID 02011549

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