Organization
COMPREHENSIVE DENTAL GROUP IV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA A BERMAN DMD (DENTIST/PARTNER)
(914) 834-0220
Entity
Organization
Contact information
Practice address
2001 PALMER AVENUE, LARCHMONT, NY 10538
(914) 834-0220
(914) 834-7933
Mailing address
2001 PALMER AVENUE, LARCHMONT, NY 10538
(914) 834-0220
(914) 834-7933
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
045822
NY
1223G0001X
General Practice Dentistry
Primary
043808
NY
1223P0221X
Pediatric Dentistry
030264
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1304113
UNITED CONCORDIA
—
01
—
6120
DELTA DENTAL
—
Enumeration date
08/04/2006
Last updated
09/11/2025
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