MEDICARE: CHAVA BERKOWITZ

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	363LF0000X	Family Nurse Practitioner	359576	NY
2	163W00000X	Registered Nurse	918480	NY

General Provider Information

NPI Number	:	1750251443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAVA BERKOWITZ

Provider Business Mailing Address
First Line	:	125 LAWRENCE AVE
Second Line	:
City	:	LAWRENCE
State	:	NY
Zip	:	11559-1440
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 LAWRENCE AVE
Second Line	:
City	:	LAWRENCE
State	:	NY
Zip	:	11559-1440
Country	:	US
Telephone Number	:	646-228-1247
Fax Number	:

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

Provider Enumeration Date	:	11/07/2025
Last Update Date	:	04/27/2026

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Directions to “ CHAVA BERKOWITZ ” Practice Location

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