Provider Demographics
NPI:1770824369
Name:BERMAN, HOWARD MICHAEL (RN)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:MICHAEL
Last Name:BERMAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:84 NELSON ROAD
Mailing Address - City:FREMONT CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:12736-0071
Mailing Address - Country:US
Mailing Address - Phone:845-887-5824
Mailing Address - Fax:
Practice Address - Street 1:84 NELSON ROAD
Practice Address - Street 2:POB 71
Practice Address - City:FREMONT CENTER
Practice Address - State:NY
Practice Address - Zip Code:12736-0071
Practice Address - Country:US
Practice Address - Phone:845-887-5824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY591032163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health