Lisa Berman MD PC
Psychiatry & Neurology, Psychiatry in New York, NY. Organization (NPI-2).
NPI number1629697404
StatusActive
Last updated in NPPESJan 25, 2024
Details
- NPI
- 1629697404
- Entity type
- Organization (NPI-2)
- Legal business name
- Lisa Berman MD PC
- Organization subpart
- No
- Enumeration date
- Apr 13, 2020
- Certification date
- Jan 25, 2024
- Last updated
- Jan 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
57 W 75th St Apt 1aNew York, NY 10023-2007
Phone 212-765-4647
Mailing address
155 W 71st St Apt 1dNew York, NY 10023-3887
Authorized official
Lisa Berman
President
9178439666
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