Individual
NEIL BERCOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PORT WASHINGTON BLVD, SUITE G01, ROSLYN, NY 11576-1353
(516) 627-2173
(516) 365-5813
Mailing address
PO BOX 95000-6590, PHILADELPHIA, PA 19195-6590
(631) 465-6297
(631) 465-6524
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
181817
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01511022
—
NY
Enumeration date
08/29/2006
Last updated
08/11/2014
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