Provider Demographics
NPI:1336452929
Name:BERMAN, LYNN JAMES (DPT)
Entity type:Individual
Prefix:MR
First Name:LYNN
Middle Name:JAMES
Last Name:BERMAN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 E 93RD ST
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3711
Mailing Address - Country:US
Mailing Address - Phone:212-996-9700
Mailing Address - Fax:212-996-9703
Practice Address - Street 1:160 E 93RD ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3711
Practice Address - Country:US
Practice Address - Phone:212-996-9700
Practice Address - Fax:212-996-9703
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0323022251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic