Individual
KIM J BERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 ATLANTIC AVE, BALDWIN, NY 11510-4098
(516) 623-4580
(516) 623-4588
Mailing address
830 ATLANTIC AVE, BALDWIN, NY 11510-4098
(516) 623-4580
(516) 623-4588
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N3156
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00490120
—
NY
Enumeration date
11/18/2005
Last updated
07/08/2007
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