Healthcare Provider Details

I. General information

NPI: 1831163708
Provider Name (Legal Business Name): ERIKA BERMAN - ROSENZWEIG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2006
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3959 BROADWAY COLUMBIA UNIVERSITY DEPARTMENT PEDIATRICS
NEW YORK NY
10032-1559
US

IV. Provider business mailing address

200 N RIDGE ST
PORT CHESTER NY
10573-1229
US

V. Phone/Fax

Practice location:
  • Phone: 212-305-4436
  • Fax: 212-342-1443
Mailing address:
  • Phone: 914-305-4258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number203129
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: