Individual
JEROME BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
188 04 NORTHERN BLVD, FLUSHING, NY 11358-2811
(718) 445-1090
Mailing address
188 04 NORTHERN BLVD, FLUSHING, NY 11358-2811
(718) 445-1090
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
112385
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012626
GHI
NY
05
—
00203452
—
NY
01
—
0C1099
HEALTH NET
NY
01
—
112385A48
HEALTH FIRST
NY
01
—
441181102
RAILROAD MEDICARE
NY
01
—
608064
AETNA
NY
01
—
973471
BLUE CROSS BLUE SHIELD
NY
01
—
DS526
OXFORD
NY
01
—
P61159096
MULTIPLAN
NY
Enumeration date
09/21/2006
Last updated
10/21/2010
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