Provider Demographics
NPI:1548788375
Name:BERAM, TAMMY
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:
Last Name:BERAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 MANHATTAN AVE APT 604
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-2596
Mailing Address - Country:US
Mailing Address - Phone:914-357-3432
Mailing Address - Fax:
Practice Address - Street 1:18 E 16TH ST STE 503-1
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3111
Practice Address - Country:US
Practice Address - Phone:929-489-0009
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-31
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012094101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health