Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 163099 | NY |
NPI | 1023487394 |
---|---|
Provider Name | Dr. Michael Berelowitz |
First Address | New York, NY 10016 |
Second Address | New York, NY 10016-3261 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2015 |
Last Update Date | 17/09/2015 |