Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME90927 | FL |
N | 208600000X | Surgeon | ME90927 | FL |
Y | 2086S0129X | Vascular Surgeon | 248249 | NY |
NPI | 1164406039 |
---|---|
Provider Name | Dr. Todd Lance Berland |
First Address | New York, NY 10016-6402 |
Second Address | New York, NY 10016-6402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 25/02/2021 |