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:
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Health care specialties

SpecialtyCodeLicense #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 12 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 1699889337 NPPES
New York MEDICAID 01504489

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