MEDICARE: DOMINIC BERLINGIERI

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	208000000X	Pediatrics Physician	231722	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1992734404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOMINIC BERLINGIERI

Provider Business Mailing Address
First Line	:	3 SAINT STEPHENS LN
Second Line	:	SUITE 3
City	:	WARWICK
State	:	NY
Zip	:	10990-3208
Country	:	US
Telephone Number	:	845-987-7800
Fax Number	:	845-987-7811

Provider Business Practice Location Address
First Line	:	3 SAINT STEPHENS LN
Second Line	:	SUITE 3
City	:	WARWICK
State	:	NY
Zip	:	10990-3208
Country	:	US
Telephone Number	:	845-987-7800
Fax Number	:	845-987-7811

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

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	10/06/2023

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Directions to “ DOMINIC BERLINGIERI ” Practice Location

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