Provider Demographics
NPI:1407936206
Name:BERBERY, MARIA-PILAR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA-PILAR
Middle Name:
Last Name:BERBERY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 WEST ST
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5011
Mailing Address - Country:US
Mailing Address - Phone:201-947-2986
Mailing Address - Fax:
Practice Address - Street 1:4260 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-3726
Practice Address - Country:US
Practice Address - Phone:212-923-8451
Practice Address - Fax:212-923-7111
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY183763208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01220240Medicaid
NYG45527Medicare UPIN
NY540871Medicare ID - Type Unspecified