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General NPI Number Information
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NPI Number | 1295649457
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Entity Type | Individual
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Provider Name | JONATHAN TODD BERKOWITZ
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Gender | Male
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1101 MAIN ST
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City | PEEKSKILL
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State | NY
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Zip | 10566-2907
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Country | US
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Telephone | 914-737-7338
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Fax |
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Provider Business Mailing Address
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Address Line | 845 N BROADWAY
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City | WHITE PLAINS
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State | NY
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Zip | 10603-2403
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Country | US
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Telephone | 914-761-0600
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Fax |
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | P-5012
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License Number State | NY
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