Individual
MRS. CIVIA YENTY BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,TSHH
Contact information
Practice address
1413 E 12TH ST, BROOKLYN, NY 11230-6605
(347) 410-3633
Mailing address
1413 E 12TH ST, BROOKLYN, NY 11230-6605
(347) 410-3633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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