Organization
HCA IN MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL I BERKLEY (CEO & ADMINISTRATOR)
(718) 448-3210
Entity
Organization
Contact information
Practice address
133 E 58TH ST, STE 504, NEW YORK, NY 10022-1236
(212) 886-1097
(718) 967-6023
Mailing address
2535 ARTHUR KILL RD, STATEN ISLAND, NY 10309-1207
(718) 448-3210
(718) 984-2642
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
08/28/2013
Last updated
05/31/2016
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