National Provider Identifier
Michael Leon Berlin, M.D.
Michael Leon Berlin, M.D. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 274-4011.
Profile Overview
- NPI
- 1619276375
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- March 21, 2011
- Last Updated
- November 06, 2014
Practice Location
- 101 Dates Dr
- Ithaca, NY 14850-1342
Phone: (607) 274-4011
Mailing Address
- 1026 Danby RD
- Ithaca, NY 14850-5722
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1619276375
- Entity Type
- Individual
- Last Name
- Berlin
- First Name
- Michael
- Middle Name
- Leon
- Credential
- M.D.
- Mailing Street Address
- 1026 Danby RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5722
- Mailing Country
- US
- Mailing Phone
- (646) 884-3353
- Practice Street Address
- 101 Dates Dr
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-1342
- Practice Country
- US
- Practice Phone
- (607) 274-4011
- Enumeration Date
- March 21, 2011
- Last Updated
- November 06, 2014
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)