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COSTA BERKSHIRE GROUP LLC NPI 1982039129


NPI Information

NPI: 1982039129
Provider Name: COSTA BERKSHIRE GROUP LLC

Other Name: DOUGLAS BAILYN MBR

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 33D1042634

Address:
111 BROADWAY
SUITE 1302
NEW YORK, NY
ZIP 10006
Phone: (212) 777-1510
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COSTA BERKSHIRE GROUP LLC is an internal medicine in New York, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. COSTA BERKSHIRE GROUP LLC NPI is 1982039129. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Douglas Bailyn Mbr.

The provider's business location address is:

111 BROADWAY
SUITE 1302
NEW YORK, NY
ZIP 10006-901
Phone: (212) 777-1510

The provider's authorized official is Brenda Loper .
The authorized official title is Manager and has the following contact phone number (212) 777-1510.

The CLIA number assigned to this NPI record is 33D1042634 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/6/2013 and was last updated on 9/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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