Individual
DR. ALAN BERLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2095 FLATBUSH AVE, SUITE A3, BROOKLYN, NY 11234
(718) 338-6868
(718) 252-3650
Mailing address
89 RYDER RD, MANHASSET, NY 11030-2545
(718) 338-6868
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
132733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00730814
—
NY
01
—
300025378
RAILROAD MEDICARE
NY
Enumeration date
07/28/2005
Last updated
06/29/2015
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