Alan Joseph Berotti

Individual provider Active NPI Contractor · Farmingdale, NY

NPI 1508035981 · NPPES record last updated Feb 29, 2008

Key facts

NPI
1508035981
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
10 Nostrand St
Farmingdale, NY 11735-4307
Phone
(516) 816-6837
Fax
(631) 694-0131
NPI assigned
Feb 29, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

10 Nostrand St
Farmingdale, NY 11735-4307

Mailing address

10 Nostrand St
Farmingdale, NY 11735-4307
Phone (516) 816-6837

Other providers in Farmingdale, NY

All providers in Farmingdale, NY · Contractor in New York

Sources for this page

Verify at the official NPI Registry.