Jenna Berman

NPI #1699037630 in Old Bethpage, New York

Provider Information

NPI Number: 1699037630
Entity Type: Individual
Name: Jenna Berman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jun 14, 2012
Last Updated: Feb 27, 2017

Practice Location

Address: 66 CRESCENT DR
Address 2: APT 8O
City: Old Bethpage
State: New York
ZIP Code: 11804-1528
Phone: (631) 664-1531

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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