Individual
DR. LANCE R BERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2330 UNION BLVD, ISLIP, NY 11751-3103
(631) 277-8900
(631) 277-0298
Mailing address
2330 UNION BLVD, ISLIP, NY 11751-3103
(631) 277-8900
(631) 277-0298
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004704-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01290248
—
NY
Enumeration date
04/04/2006
Last updated
07/08/2007
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