Provider Demographics
NPI:1578399218
Name:BERMAN, CASSIE RAE (MSED)
Entity type:Individual
Prefix:
First Name:CASSIE
Middle Name:RAE
Last Name:BERMAN
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 PEACOCK DR
Mailing Address - Street 2:
Mailing Address - City:ROSLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11576-2540
Mailing Address - Country:US
Mailing Address - Phone:516-491-2460
Mailing Address - Fax:
Practice Address - Street 1:18 PEACOCK DR
Practice Address - Street 2:
Practice Address - City:ROSLYN
Practice Address - State:NY
Practice Address - Zip Code:11576-2540
Practice Address - Country:US
Practice Address - Phone:516-491-2460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist