Provider Demographics
NPI:1306801378
Name:BERLINER, STEWART ROSS (MD)
Entity type:Individual
Prefix:DR
First Name:STEWART
Middle Name:ROSS
Last Name:BERLINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 QUAKER MEETING HOUSE RD
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504
Mailing Address - Country:US
Mailing Address - Phone:914-522-4411
Mailing Address - Fax:
Practice Address - Street 1:12 QUAKER MEETING HOUSE RD
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504
Practice Address - Country:US
Practice Address - Phone:914-522-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1806262085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0R0365OtherHEALTHNET
711609OtherCT CARE
010040053CT02OtherANTHEM
51124OtherAIM
06091160802OtherTRICARE
06091160802OtherTRICARE