Individual
JOAN BERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 ROLLINGWOOD DR, NEW CITY, NY 10956-2006
(845) 634-3600
(845) 634-3600
Mailing address
6 ROLLINGWOOD DR, NEW CITY, NY 10956-2006
(845) 634-3600
(845) 634-3600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
106747
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106747
MEDICAL LICENSE
NY
Enumeration date
08/13/2006
Last updated
06/27/2020
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