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General NPI Number Information
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NPI Number | 1124094594
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Entity Type | Individual
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Provider Name | ISRAEL S BERKOWITZ MD
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Gender | Male
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Dates
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Enumeration Date | 02/27/2006
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 110 E 59TH ST SUITE8A
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City | NEW YORK
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State | NY
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Zip | 10022-1304
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Country | US
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Telephone | 212-772-3363
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Fax | 212-434-6169
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Provider Business Mailing Address
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Address Line | 110 E 59TH ST SUITE8A
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City | NEW YORK
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State | NY
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Zip | 10022-1304
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Country | US
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Telephone | 212-772-3363
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Fax | 212-434-6169
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 150378
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License Number State | NY
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