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Individual

CARLY BERKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
1133 PLEASANTVILLE RD, BRIARCLIFF MANOR, NY 10510-1634
(914) 245-0211
Mailing address
1661 YORK AVE, 2F, NEW YORK, NY 10128-6551
(203) 984-2086

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022385-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
022385-1
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
11/15/2012
Last updated
11/15/2012
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