Provider Demographics
NPI:1568469575
Name:BERKELEY, HOPE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOPE
Middle Name:ANN
Last Name:BERKELEY
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 1:121 EDGARS LANE
Mailing Address - Street 2:
Mailing Address - City:HASTINGS-ON-HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1121
Mailing Address - Country:US
Mailing Address - Phone:914-478-1948
Mailing Address - Fax:
Practice Address - Street 1:30 GLENN ST
Practice Address - Street 2:SUITE 305
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10603-3254
Practice Address - Country:US
Practice Address - Phone:914-948-2186
Practice Address - Fax:914-948-2186
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY146363207R00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF 86020Medicare UPIN