Individual
BRIAN BERBARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-5209
(410) 601-8841
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
R149207
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R149207
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
414274800
—
MD
Enumeration date
09/19/2007
Last updated
03/03/2015
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