Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | N005062-1 | NY |
N | 222Z00000X | Podiatrist | N005062-1 | NY |
Y | 213EP1101X | Primary Podiatric Medicine | N005062-1 | NY |
N | 111NR0200X | Radiology | N005062-1 | NY |
N | 213ER0200X | Radiology | N005062-1 | NY |
N | 2081S0010X | Sports Medicine | N005062-1 | NY |
N | 213ES0000X | Sports Medicine | N005062-1 | NY |
N | 213ES0103X | Foot & Ankle Surgery | N005062-1 | NY |
N | 213ES0131X | Foot Surgery | N005062-1 | NY |
NPI | 1740218171 |
---|---|
Provider Name | Dr. Richard Alan Berliner |
First Address | Mount Kisco, NY 10549-3036 |
Second Address | Mount Kisco, NY 10549-3028 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 23/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01632815 | (05) | NY |
U48809 | (02) | NY |