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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
RICHARD BERRY MD (PRESIDENT)
(718) 996-3000
Entity
Organization
Contact information
Practice address
2820 OCEAN PKWY, BROOKLYN, NY 11235-7958
(718) 996-3000
Mailing address
2820 OCEAN PKWY, BROOKLYN, NY 11235-7958
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
—
124011
HIP
NY
01
—
124011-A18
HEALTHFIRST
NY
01
—
161917
ELDERPLAN
NY
01
—
308920101
HEALTHPLUW
NY
01
—
4095409
AETNA
NY
01
—
4C3563
HEALTHNET
NY
01
—
90436
AETNA
NY
01
—
973731
BLUE CROSS & BLUE SHIELD
NY
01
—
DS086
OXFORD
NY
01
—
MCA058903
AMERICHOICE
NY
Enumeration date
08/09/2006
Last updated
07/14/2008
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