Healthcare Provider Details

I. General information

NPI: 1871601153
Provider Name (Legal Business Name): ALAN STEWART BERKOWER MD PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 01/02/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 WESTCHESTER AVE SUITE 101
BRONX NY
10461-4500
US

IV. Provider business mailing address

3250 WESTCHESTER AVE SUITE 101
BRONX NY
10461-4500
US

V. Phone/Fax

Practice location:
  • Phone: 718-518-9304
  • Fax: 718-518-9401
Mailing address:
  • Phone: 718-518-9304
  • Fax: 718-518-9401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number166774
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: