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General NPI Number Information
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NPI Number | 1225168255
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Entity Type | Organization
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Legal Business Name | ISRAEL S. BERKOWITZ MD, PLLC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 178 E 85TH ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10028-2119
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Country | US
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Telephone | 212-772-3363
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Fax | 212-772-3491
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Provider Business Mailing Address
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Address Line | 178 E 85TH ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10028-2119
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Country | US
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Telephone | 212-772-3363
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Fax | 212-772-3491
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Authorized Official
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Title or Position | SOLE PHYSICIAN
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Name | DR. ISRAEL S BERKOWITZ
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Credential | MD
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Telephone | 212-772-3363
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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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