Provider Demographics
NPI:1710900212
Name:BERMAN, JOSHUA AARON (MD PHD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:AARON
Last Name:BERMAN
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 1:115 CENTRAL PARK W
Mailing Address - Street 2:SUITE 15
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4198
Mailing Address - Country:US
Mailing Address - Phone:212-873-7176
Mailing Address - Fax:212-873-3613
Practice Address - Street 1:115 CENTRAL PARK W
Practice Address - Street 2:SUITE 15
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4198
Practice Address - Country:US
Practice Address - Phone:212-873-7176
Practice Address - Fax:212-873-3613
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2076592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY207659OtherNY STATE LICENSE NUMBER
H16587Medicare UPIN
87M471Medicare ID - Type Unspecified