Provider Demographics
NPI:1528278017
Name:BERMAN AND BERMAN
Entity type:Organization
Organization Name:BERMAN AND BERMAN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:BERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:631-425-1954
Mailing Address - Street 1:900 WALT WHITMAN RD
Mailing Address - Street 2:SUITE LL7
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-2293
Mailing Address - Country:US
Mailing Address - Phone:631-425-1954
Mailing Address - Fax:631-425-5954
Practice Address - Street 1:900 WALT WHITMAN RD
Practice Address - Street 2:SUITE LL7
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2293
Practice Address - Country:US
Practice Address - Phone:631-425-1954
Practice Address - Fax:631-425-5954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO17615101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1013134766OtherINDIVIDUAL NPI #
NY1013134766OtherINDIVIDUAL NPI #