Berookhim, Gilbert
Berookhim, Gilbert is an individual health care provider with primary practice located at 5611 Catalpa Ave , Ridgewood NY 11385-4841. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Berookhim, Gilbert can be contacted via phone (718) 417-0117.Contact Information
Primary practice address
5611 Catalpa Ave
Ridgewood NY 11385-4841
Phone: (718) 417-0117
Fax: (718) 381-5450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 043616 | New York |
Profile Details
| NPI number | 1932182375 |
|---|---|
| LBN Legal business name | Berookhim, Gilbert |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Apr 17th, 2008 - about 17 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 | 1932182375 | NPPES |
| New York | MEDICAID | 01368405 |
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