Individual
DR. SUSAN V BERSHAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5 E 98TH ST FL 5, NEW YORK, NY 10029-6501
(212) 241-9728
(212) 987-1197
Mailing address
5 E 98TH ST FL 5, NEW YORK, NY 10029-6501
(212) 241-9728
(212) 987-1197
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
145620-1
NY
207N00000X
Dermatology Physician
25MA04392400
NJ
207NP0225X
Pediatric Dermatology Physician
145620-1
NY
207NP0225X
Pediatric Dermatology Physician
25MA04392400
NJ
Other
Enumeration date
05/18/2007
Last updated
11/19/2010
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