Individual
BERLIN ATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89310 CIRCLE DR, CENTRAL ISLIP, NY 11722-5218
(516) 408-0480
Mailing address
89310 CIRCLE DR, CENTRAL ISLIP, NY 11722-5218
(516) 408-0480
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N12989
NY
164W00000X
Licensed Practical Nurse
Primary
338890
NY
Other
Enumeration date
07/27/2023
Last updated
01/13/2026
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