Organization
MBBERENBERG PSYCHOLOGICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN BERENBERG (PRESIDENT)
(718) 768-2461
Entity
Organization
Contact information
Practice address
482 2ND ST, SUITE #1, BROOKLYN, NY 11215-2503
(718) 768-2461
(718) 768-2461
Mailing address
86 PROSPECT PARK W, BROOKLYN, NY 11215-3575
(718) 768-2461
(718) 768-2461
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
005885
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056183
VALUEOPTIONS PROVIDER ID
NY
01
—
0911717
AETNA PROVIDER ID
NY
01
—
6804058
GHI PROVIDER ID
NY
01
—
P2047617
OXFORD INS.CO.PROVIDER ID
NY
Enumeration date
02/11/2007
Last updated
08/22/2020
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