National Provider Identifier
Carol Thuytien Berlin, MD
Carol Thuytien Berlin, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Ithaca, NY and a listed phone number of (607) 277-4341.
Profile Overview
- NPI
- 1568742914
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- August 17, 2011
- Last Updated
- September 25, 2014
Practice Location
- 209 West State Street
- Ithaca, NY 14850
Phone: (607) 277-4341
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1568742914
- Entity Type
- Individual
- Last Name
- Berlin
- First Name
- Carol
- Middle Name
- Thuytien
- Name Prefix
- Dr.
- Credential
- MD
- Provider Other Last Name
- Dao
- Provider Other First Name
- Carol
- Provider Other Middle Name
- Thuytien
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- MD
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 209 West State Street
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 277-4341
- Mailing Fax
- (607) 277-1506
- Practice Street Address
- 209 West State Street
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 277-4341
- Practice Fax
- (607) 277-1506
- Enumeration Date
- August 17, 2011
- Last Updated
- September 25, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)