Individual
MR. BARRIE L BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1709 215TH ST, BAYSIDE, NY 11360-1728
(347) 563-1593
Mailing address
1709 215TH ST, BAYSIDE, NY 11360-1728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002689-1
NY
Other
Enumeration date
10/04/2009
Last updated
10/05/2009
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