Provider Demographics
NPI:1285776435
Name:BERMAN, NEIL DAVID (DDS)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:DAVID
Last Name:BERMAN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141A FRANKLIN PL
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1218
Mailing Address - Country:US
Mailing Address - Phone:516-374-2883
Mailing Address - Fax:516-374-2644
Practice Address - Street 1:141A FRANKLIN PL
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1218
Practice Address - Country:US
Practice Address - Phone:516-374-2883
Practice Address - Fax:516-374-2644
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0438291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice