Provider Demographics
NPI:1356671739
Name:BERKOWITZ, NOAH (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:NOAH
Middle Name:
Last Name:BERKOWITZ
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 DISBROW CIR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-2504
Mailing Address - Country:US
Mailing Address - Phone:201-906-1953
Mailing Address - Fax:
Practice Address - Street 1:20 DISBROW CIR
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10804-2504
Practice Address - Country:US
Practice Address - Phone:201-906-1953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY198477-1207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology