Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | N005061-1 | NY |
Y | 222Z00000X | Podiatrist | N005061-1 | NY |
N | 213EP1101X | Primary Podiatric Medicine | N005061-1 | NY |
N | 111NR0200X | Radiology | N005061-1 | NY |
N | 213ER0200X | Radiology | N005061-1 | NY |
N | 2081S0010X | Sports Medicine | N005061-1 | NY |
N | 213ES0000X | Sports Medicine | N005061-1 | NY |
N | 213ES0103X | Foot & Ankle Surgery | N005061-1 | NY |
N | 213ES0131X | Foot Surgery | N005061-1 | NY |
NPI | 1669400826 |
---|---|
Provider Name | Dr. Jill Mandi Berkowitz-Berliner |
First Address | Mount Kisco, NY 10549-3036 |
Second Address | Mount Kisco, NY 10549-3036 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 12/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01632833 | (05) | NY |
U44695 | (02) | NM |