Provider Information for 1306887849
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Ms. BONNIE BERKOWITZ LCSW
Sex: Female
NPI: 1306887849
Last Updated: 2023-04-11
Certification Date: 2021-10-13
Certification Date: 2021-10-13
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1306887849 | ||||||||
| Enumeration Date | 2006-06-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 500 E 77TH ST APT 2516 NEW YORK, NY 10162-0028 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 312 E 85TH ST STE 1 NEW YORK, NY 10028-4569 United States Phone: 212-799-3924 | Fax: | ||||||||
| Secondary Practice Address(es) | 500 E 77TH ST APT 2516 | ||||||||
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