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NPI Code Detail

MEDICARE: DR. EWA JANUSZ-BEREZOWSKA MD

MEDICARE:  DR. EWA  JANUSZ-BEREZOWSKA  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician216035NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073532289
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EWA JANUSZ-BEREZOWSKA MD
Provider Business Mailing Address
First Line : 22 CHAPEL STREET
Second Line :
City : BROOKLYN
State : NY
Zip : 11201
Country : US
Telephone Number : 718-260-2900
Fax Number : 718-522-3186
Provider Business Practice Location Address
First Line : 2195 THIRD AVENUE
Second Line : THIRD HORIZON CLINIC
City : NEW YORK
State : NY
Zip : 10035
Country : US
Telephone Number : 212-348-9095
Fax Number : 212-876-1559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 05/21/2009

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