Provider Demographics
NPI:1215175435
Name:BERLIN, ANA (MD)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:BERLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:177 FORT WASHINGTON AVENUE
Mailing Address - Street 2:MILSTEIN HOSPITAL BUILDING 7 SOUTH KNUCKLE 014
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-342-1734
Mailing Address - Fax:
Practice Address - Street 1:177 FORT WASHINGTON AVENUE
Practice Address - Street 2:MILSTEIN HOSPITAL BUILDING 7 SOUTH KNUCKLE 014
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-342-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09523400208600000X
NY2542872086H0002X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086H0002XAllopathic & Osteopathic PhysiciansSurgeryHospice and Palliative Medicine