Provider Demographics
NPI:1699726802
Name:BEBERMAN, HILLARY KLEIN (DO)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:KLEIN
Last Name:BEBERMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 NORTHERN BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5312
Mailing Address - Country:US
Mailing Address - Phone:516-627-4433
Mailing Address - Fax:516-627-0552
Practice Address - Street 1:1000 NORTHERN BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5312
Practice Address - Country:US
Practice Address - Phone:516-627-4433
Practice Address - Fax:516-627-0552
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY747817207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH57149Medicare UPIN
NJ056249Medicare ID - Type Unspecified