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1962469809

NPI Code Detail

MEDICARE: RANDALL G BERLINER MD

MEDICARE: RANDALL G 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	174400000X	Specialist	195905	NY
2	2084P0800X	Psychiatry Physician	195905	NY
3	2084N0400X	Neurology Physician	195905	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	9603726003	OTHER	NY	CIGNA
3	134046855	OTHER	NY	AETNA
4	1279657	OTHER	NY	UNITED HEALT CARE
5	231955	OTHER	NY	MANAGED HEALT NET
6	P623258	OTHER	NY	OXFORD
7	134046855	OTHER	NY	1199
8	10599	OTHER	NY	HIP CMO
9	134046855	OTHER	NY	TAX ID#
10	0H1338	OTHER	NY	HEALTHNET OF THE NORTHEAS
11	RB0476N110	OTHER	NY	BC/BS
12	195905	OTHER	NY	HIP

General Provider Information

NPI Number	:	1962469809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDALL G BERLINER MD

Provider Business Mailing Address
First Line	:	4234-1 BRONX BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2801
Country	:	US
Telephone Number	:	718-515-4347
Fax Number	:	718-653-8641

Provider Business Practice Location Address
First Line	:	4234-1 BRONX BLVD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2668
Country	:	US
Telephone Number	:	718-515-4347
Fax Number	:	718-653-8641

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

Provider Enumeration Date	:	04/26/2006
Last Update Date	:	10/24/2019

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Directions to “ RANDALL G BERLINER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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