Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 73150 | NY |
NPI | 1013911932 |
---|---|
Provider Name | Arthur J Berman |
First Address | Scarsdale, NY 10583-1048 |
Second Address | Scarsdale, NY 10583-1048 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 17/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D47821 | (02) | NY |