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Individual
MR. OTTO MICHAEL BERK
Active
Individual
MR. OTTO MICHAEL BERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R-042031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02480211
—
NY
01
—
10208395
AMERIGROUP
NY
01
—
1050730
BEACON HEALTH
NY
01
—
182780P
HIP NY STATE
NY
01
—
2445244
UNITED HEALTH CARE
NY
01
—
248062964
UNITED BEHAVIORAL HEALTH
NY
01
—
2826599000
AMERIHEALTH MULTIPLAN
NY
01
—
307450
HEALTHNET MHN
NY
01
—
518370
NYSHIP EMPIRE PLAN
NY
01
—
558471000
MAGELLAN
NY
01
—
7527622
AETNA
NY
01
—
N797C1
BCBS
NY
01
—
P3462946
OXFORD
NY
Enumeration date
06/15/2005
Last updated
02/15/2011
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