Individual
MR. GILBERT BEROOKHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5611 CATALPA AVE, RIDGEWOOD, NY 11385-4841
(718) 417-0117
(718) 381-5450
Mailing address
5611 CATALPA AVE, RIDGEWOOD, NY 11385-4841
(718) 417-0117
(718) 381-5450
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
043616
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01368405
—
NY
Enumeration date
11/21/2005
Last updated
04/17/2008
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