Provider Demographics
NPI:1093571895
Name:BERKOWITZ MEDICAL HEALTH SERVICES PC
Entity Type:Organization
Organization Name:BERKOWITZ MEDICAL HEALTH SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-612-8277
Mailing Address - Street 1:1319 AVENUE P LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1105
Mailing Address - Country:US
Mailing Address - Phone:917-613-4249
Mailing Address - Fax:917-473-8046
Practice Address - Street 1:1319 AVENUE P LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1105
Practice Address - Country:US
Practice Address - Phone:917-613-4249
Practice Address - Fax:917-473-8046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty