Provider Demographics
NPI:1831911817
Name:JAPSI, BERDINE TRISH
Entity type:Individual
Prefix:
First Name:BERDINE
Middle Name:TRISH
Last Name:JAPSI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BERDINE
Other - Middle Name:TRISH
Other - Last Name:BREWINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9444 240TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3827
Mailing Address - Country:US
Mailing Address - Phone:516-306-1967
Mailing Address - Fax:
Practice Address - Street 1:9444 240TH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-3827
Practice Address - Country:US
Practice Address - Phone:516-306-1967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator