JENNA BERMAN
NPI 1699037630
Specialist in Old Bethpage, NY
Active since June 14, 2012
About Jenna Berman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA BERMAN (NPI 1699037630) is an individual specialist in Old Bethpage, New York, licensed in New York (321488939) and active in the NPI registry since June 2012.
NPPES Registry Identity
NPI1699037630
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNA BERMAN
Location Address66 CRESCENT DR, APT 8OOld Bethpage, NY 11804-1528
Mailing Address66 Crescent DrOld Bethpage, NY 11804-1528 · (631) 664-1531
Phone(631) 664-1531
Sole ProprietorNo
Enumeration DateJune 14, 2012
Last NPPES UpdateFebruary 27, 2017
✔ NPI 1699037630 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 321488939
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
66 CRESCENT DR, Old Bethpage, NY 11804
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699037630, enumerated as an "individual" on June 14, 2012.
The provider is located at 66 CRESCENT DR APT 8O OLD BETHPAGE, NY 11804 and the phone number is (631) 664-1531.
Specialist with taxonomy code 174400000X.