Individual
RANDALL G BERLINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4234-1 BRONX BLVD, BRONX, NY 10466-2668
(718) 515-4347
(718) 653-8641
Mailing address
4234-1 BRONX BLVD, BRONX, NY 10466-2801
(718) 515-4347
(718) 653-8641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
195905
NY
2084N0400X
Neurology Physician
Primary
195905
NY
2084P0800X
Psychiatry Physician
195905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01638462
—
NY
01
—
0H1338
HEALTHNET OF THE NORTHEAS
NY
01
—
10599
HIP CMO
NY
01
—
1279657
UNITED HEALT CARE
NY
01
—
134046855
AETNA
NY
01
—
195905
HIP
NY
01
—
231955
MANAGED HEALT NET
NY
01
—
9603726003
CIGNA
NY
01
—
P623258
OXFORD
NY
01
—
RB0476N110
BC/BS
NY
Enumeration date
04/26/2006
Last updated
10/24/2019
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