Individual
DR. ROY BERENHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17918 69TH AVE, FRESH MEADOWS, NY 11365-3520
(718) 838-0777
Mailing address
17918 69TH AVE, FRESH MEADOWS, NY 11365-3520
(718) 838-0777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
240666
NY
207LP3000X
Pediatric Anesthesiology Physician
Primary
MT191459
PA
207R00000X
Internal Medicine Physician
240666
NY
Other
Enumeration date
05/19/2008
Last updated
02/25/2021
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