MEDICARE: CYNTHIA BERLIN

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	101YM0800X	Mental Health Counselor	016110-01	NY
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1942670203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA BERLIN

Provider Business Mailing Address
First Line	:	49 CROSBY ST APT 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10012-4466
Country	:	US
Telephone Number	:	815-978-1626
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 CROSBY ST APT 3
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10012-4466
Country	:	US
Telephone Number	:	815-978-1626
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2015
Last Update Date	:	12/11/2025

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Directions to “ CYNTHIA BERLIN ” Practice Location

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