Provider Demographics
NPI:1831479591
Name:KEARNS BERMAN, BARBARA (RN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:KEARNS BERMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-2034
Mailing Address - Country:US
Mailing Address - Phone:516-286-9887
Mailing Address - Fax:516-409-6666
Practice Address - Street 1:2755 BROOK AVE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2034
Practice Address - Country:US
Practice Address - Phone:516-286-9887
Practice Address - Fax:516-409-6666
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY576810163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse