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General NPI Number Information
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NPI Number | 1881450609
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Entity Type | Organization
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Legal Business Name | JEFFREY BERMAN MD PLLC
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Dates
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Enumeration Date | 02/28/2024
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1587 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11213-4479
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Country | US
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Telephone | 718-534-0053
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Fax |
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Provider Business Mailing Address
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Address Line | 1587 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11213-4479
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Country | US
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Telephone | 718-534-0053
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEFFREY BERMAN
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Credential | MD
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Telephone | 201-394-7491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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