COSTA BERKSHIRE GROUP LLC

NEW YORK, NY
NPI1982039129
Other NameDOUGLAS BAILYN MBR
Entity TypeOrganization
Authorized ContactBRENDA LOPER
Manager
212-777-1510
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2013-09-06
Last Update Date2013-09-06
Business Address
COSTA BERKSHIRE GROUP LLC
111 BROADWAY SUITE 1302
NEW YORK, NY 10006-1901
Phone number: 212-777-1510
Mailing Address
COSTA BERKSHIRE GROUP LLC
111 BROADWAY SUITE 1302
NEW YORK, NY 10006-1901
Phone number: 212-777-1510