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NPI Code Detail

MEDICARE: DR. STEWART ROSS BERLINER MD

MEDICARE:  DR. STEWART ROSS BERLINER  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
12085R0202XDiagnostic Radiology Physician180626NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10R0365OTHERHEALTHNET
2711609OTHERCT CARE
3010040053CT02OTHERANTHEM
451124OTHERAIM
506091160802OTHERTRICARE

General Provider Information

NPI Number : 1306801378
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEWART ROSS BERLINER MD
Provider Business Mailing Address
First Line : 12 QUAKER MEETING HOUSE RD
Second Line :
City : ARMONK
State : NY
Zip : 10504
Country : US
Telephone Number : 914-522-4411
Fax Number :
Provider Business Practice Location Address
First Line : 12 QUAKER MEETING HOUSE RD
Second Line :
City : ARMONK
State : NY
Zip : 10504
Country : US
Telephone Number : 914-522-4411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 07/08/2007

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Directions to “ DR. STEWART ROSS BERLINER MD” Practice Location

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