Individual
BENNETT BERKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 EXECUTIVE BLVD, SUITE 306, SUFFERN, NY 10901-4164
(845) 368-3429
(845) 368-8679
Mailing address
2 EXECUTIVE BLVD, SUITE 306, SUFFERN, NY 10901-4164
(845) 368-3429
(845) 368-8679
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
161930
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01087181
—
NY
Enumeration date
10/06/2006
Last updated
11/16/2015
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