Provider Demographics
NPI:1033415880
Name:BERMAN, ADAM J (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:J
Last Name:BERMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:27005 76TH AVE
Mailing Address - Street 2:LIJ EMERGENCY MEDICINE
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1402
Mailing Address - Country:US
Mailing Address - Phone:718-470-7874
Mailing Address - Fax:718-470-9113
Practice Address - Street 1:27005 76TH AVE
Practice Address - Street 2:LIJ EMERGENCY MEDICINE
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1402
Practice Address - Country:US
Practice Address - Phone:718-470-7874
Practice Address - Fax:718-470-9113
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2015-06-29
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Provider Licenses
StateLicense IDTaxonomies
NY269358207PT0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PT0002XAllopathic & Osteopathic PhysiciansEmergency MedicineMedical Toxicology