Individual
DR. LORI S BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
167 E MERRICK RD, VALLEY STREAM, NY 11580-5925
(516) 825-3030
(516) 825-4282
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200060
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01908805
—
NY
Enumeration date
07/19/2006
Last updated
11/12/2009
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