Healthcare Provider Details

I. General information

NPI: 1215175435
Provider Name (Legal Business Name): ANA BERLIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2009
Last Update Date: 11/13/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177 FORT WASHINGTON AVENUE MILSTEIN HOSPITAL BUILDING 7 SOUTH KNUCKLE 014
NEW YORK NY
10032
US

IV. Provider business mailing address

177 FORT WASHINGTON AVENUE MILSTEIN HOSPITAL BUILDING 7 SOUTH KNUCKLE 014
NEW YORK NY
10032
US

V. Phone/Fax

Practice location:
  • Phone: 212-342-1734
  • Fax:
Mailing address:
  • Phone: 212-342-1734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA09523400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2086H0002X
TaxonomyHospice and Palliative Medicine (Surgery) Physician
License Number254287
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number254287
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: