Individual
SCOTT BERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NESCONSET HWY, BUILDING 12 SUITE 45, STONY BROOK, NY 11790-2555
(631) 675-9010
(631) 675-9009
Mailing address
2500 NESCONSET HWY, BUILDING 12 SUITE 45, STONY BROOK, NY 11790-2555
(631) 675-9010
(631) 675-9009
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
224865
NY
207VG0400X
Gynecology Physician
224865
NY
207VX0000X
Obstetrics Physician
224865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02359644
—
NY
Enumeration date
08/19/2005
Last updated
05/17/2012
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