Provider Demographics
NPI:1558947523
Name:BERMAN, SABINA VICTORIA (PHARM D)
Entity Type:Individual
Prefix:MISS
First Name:SABINA
Middle Name:VICTORIA
Last Name:BERMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 COYLE ST APT 310
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1740
Mailing Address - Country:US
Mailing Address - Phone:718-646-8912
Mailing Address - Fax:
Practice Address - Street 1:34 STATE ROUTE 35 N
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4743
Practice Address - Country:US
Practice Address - Phone:732-455-5646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.00153021835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist