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General NPI Number Information
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NPI Number | 1871625285
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Entity Type | Organization
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Legal Business Name | STEVEN BERMAN
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18910 UNION TPKE
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City | FLUSHING
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State | NY
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Zip | 11366-1862
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Country | US
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Telephone | 718-479-1220
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Fax | 718-479-1264
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Provider Business Mailing Address
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Address Line | 18910 UNION TPKE
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City | FLUSHING
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State | NY
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Zip | 11366-1862
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Country | US
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Telephone | 718-479-1220
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Fax | 718-479-1264
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. STEVEN NEIL BERMAN
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Credential |
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Telephone | 718-479-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 005414
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License Number State | NY
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