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Organization
RICHARD S. BERRY MDPC
Active
Organization
RICHARD S. BERRY MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICAHRD S BERRY (PRESIDENT)
(718) 845-1919
Entity
Organization
Contact information
Practice address
8441 149TH AVE, HOWARD BEACH, NY 11414-1218
(718) 845-1919
Mailing address
8441 149TH AVE, HOWARD BEACH, NY 11414-1218
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
124011
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00233096
—
NY
01
—
0033804
GHI
NY
01
—
1000055146
AFFINITY
NY
01
—
10202678
AMERIGROUP
NY
01
—
124011-A18
HEALTHFIRST
NY
01
—
161917
ELDERPLAN
NY
01
—
4095409
AETNA
NY
01
—
4C3563
HEALTHNET
NY
01
—
622145
UNITED HEALTHCARE
NY
01
—
90436
AETNA
NY
01
—
973731
BLUE CROSS & BLUE SHIELD
NY
01
—
DS086
OXFORD
NY
01
—
MCA058903
AMERICHOICE
NY
Enumeration date
03/16/2007
Last updated
08/22/2020
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