Berman, Jerome
Berman, Jerome is an sole proprietor health care provider with primary practice located at 188 04 Northern Blvd , Flushing NY 11358-2811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berman, Jerome can be contacted via phone (718) 445-1090.Contact Information
Primary practice address
188 04 Northern Blvd
Flushing NY 11358-2811
Phone: (718) 445-1090
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 112385 | New York |
Profile Details
| NPI number | 1063511665 |
|---|---|
| LBN Legal business name | Berman, Jerome |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 21st, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063511665 | NPPES |
| New York | Other | 441181102 | RAILROAD MEDICARE |
| New York | MEDICAID | 00203452 | RAILROAD MEDICARE |
| New York | Other | 112385A48 | RAILROAD MEDICARE |
| New York | Other | 0012626 | RAILROAD MEDICARE |
| New York | Other | 0C1099 | RAILROAD MEDICARE |
| New York | Other | 608064 | RAILROAD MEDICARE |
| New York | Other | DS526 | RAILROAD MEDICARE |
| New York | Other | P61159096 | RAILROAD MEDICARE |
| New York | Other | 973471 | RAILROAD MEDICARE |
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