Provider Demographics
NPI:1043975790
Name:SPRING VALLEY PODIATRY PLLC
Entity type:Organization
Organization Name:SPRING VALLEY PODIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:BERKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:347-777-7612
Mailing Address - Street 1:6 PLEASANT RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1609
Mailing Address - Country:US
Mailing Address - Phone:347-777-7612
Mailing Address - Fax:
Practice Address - Street 1:978 ROUTE 45 STE 108
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970-3512
Practice Address - Country:US
Practice Address - Phone:845-356-1534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-07
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty