Berman, Bruce Lee
Berman, Bruce Lee is an individual health care provider with primary practice located at 1050 Clove Rd , Staten Island NY 10301-3627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Berman, Bruce Lee can be contacted via phone (718) 816-6440.Contact Information
Primary practice address
1050 Clove Rd
Staten Island NY 10301-3627
Phone: (718) 816-6440
Fax: (718) 816-3749
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 185296-1 | New York |
Profile Details
NPI number | 1699889337 |
---|---|
LBN Legal business name | Berman, Bruce Lee |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2006 |
Last updated | Nov 12th, 2012 - about 13 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 | 1699889337 | NPPES |
New York | MEDICAID | 01504489 |
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