Provider Demographics
NPI:1881777464
Name:BERLINER, NEIL EVAN (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:EVAN
Last Name:BERLINER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:73 LENOX AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-3007
Mailing Address - Country:US
Mailing Address - Phone:212-663-1975
Mailing Address - Fax:212-663-1323
Practice Address - Street 1:4161 KISSENA BLVD
Practice Address - Street 2:CONCOURSESUITE 6
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3105
Practice Address - Country:US
Practice Address - Phone:718-461-6990
Practice Address - Fax:516-706-7854
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2013-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY1605592084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY160559OtherNY STATE MEDICAL LICENSE