MEDICARE: DR. STEWART ROSS BERLINER MD

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	2085R0202X	Diagnostic Radiology Physician	180626	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0R0365	OTHER	HEALTHNET
2	711609	OTHER	CT CARE
3	010040053CT02	OTHER	ANTHEM
4	51124	OTHER	AIM
5	06091160802	OTHER	TRICARE

General Provider Information

NPI Number	:	1306801378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEWART ROSS BERLINER MD

Provider Business Mailing Address
First Line	:	12 QUAKER MEETING HOUSE RD
Second Line	:
City	:	ARMONK
State	:	NY
Zip	:	10504
Country	:	US
Telephone Number	:	914-522-4411
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 QUAKER MEETING HOUSE RD
Second Line	:
City	:	ARMONK
State	:	NY
Zip	:	10504
Country	:	US
Telephone Number	:	914-522-4411
Fax Number	:

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	07/08/2007

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