MEDICARE: ALAN N BERMAN

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	36991	NY

General Provider Information

NPI Number	:	1336320027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALAN N BERMAN

Provider Business Mailing Address
First Line	:	PO BOX 886
Second Line	:
City	:	MAHOPAC
State	:	NY
Zip	:	10541-0886
Country	:	US
Telephone Number	:	845-628-4420
Fax Number	:	845-628-4496

Provider Business Practice Location Address
First Line	:	534 ROUTE 6
Second Line	:
City	:	MAHOPAC
State	:	NY
Zip	:	10541-4746
Country	:	US
Telephone Number	:	845-628-4420
Fax Number	:	845-628-4496

Authorized Official
Title or Position	:	DPM
Name	:	DR. ALAN N BERMAN
Credential	:	DPM
Telephone Number	:	845-628-4420

Provider Enumeration Date	:	11/21/2007
Last Update Date	:	11/18/2010

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