MEDICARE: DANYA BERMAN LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R055868	NY

General Provider Information

NPI Number	:	1053442277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANYA BERMAN LCSW

Provider Business Mailing Address
First Line	:	9 WHITE DEER LN
Second Line	:
City	:	WEST HARRISON
State	:	NY
Zip	:	10604-1111
Country	:	US
Telephone Number	:	914-288-0248
Fax Number	:	914-288-0248

Provider Business Practice Location Address
First Line	:	277 NORTH AVE
Second Line	:
City	:	NEW ROCHELLE
State	:	NY
Zip	:	10801-5103
Country	:	US
Telephone Number	:	914-632-7600
Fax Number	:	914-632-8837

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	07/08/2007

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