Bershad, Derek
Bershad, Derek is an individual health care provider with primary practice located at 2848 Middle Country Rd , Lake Grove NY 11755-2104. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bershad, Derek can be contacted via phone (631) 780-5550.Contact Information
Primary practice address
2848 Middle Country Rd
Lake Grove NY 11755-2104
Phone: (631) 780-5550
Fax: (631) 285-2124
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 042950-1 | New York |
Profile Details
| NPI number | 1578053526 |
|---|---|
| LBN Legal business name | Bershad, Derek |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2018 |
| Last updated | May 17th, 2018 - about 7 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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