Individual
MRS. STACEY BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17 GLENBROOK RD, MONSEY, NY 10952-1308
(845) 216-4081
(845) 362-5356
Mailing address
17 GLENBROOK RD, MONSEY, NY 10952-1308
(845) 216-4081
(845) 362-5356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
002770-1
MN
174400000X
Specialist
002770-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
002770-1
NY
Other
Enumeration date
11/29/2008
Last updated
11/29/2008
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