Provider Demographics
NPI:1972018208
Name:DANIEL S. BERMAN, M.D., INFECTIOUS DISEASES P.C.
Entity Type:Organization
Organization Name:DANIEL S. BERMAN, M.D., INFECTIOUS DISEASES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-806-3678
Mailing Address - Street 1:25 CARLISLE RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10804-3801
Mailing Address - Country:US
Mailing Address - Phone:914-524-8138
Mailing Address - Fax:914-632-3947
Practice Address - Street 1:340 CITY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10464-1326
Practice Address - Country:US
Practice Address - Phone:914-524-8138
Practice Address - Fax:914-632-3947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-08
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY155841207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty