Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 168866 | NY |
NPI | 1427064302 |
---|---|
Provider Name | Dr. Peter D Berman |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Melville, NY 11747-4992 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 02/04/2019 |