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Individual
DR. YANA SHAMAEV BERK
Active
Individual
DR. YANA SHAMAEV BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
192338-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112234962
TAX ID
—
01
—
112234982
AETNA
—
01
—
192338
STATE LICENSE #
—
01
—
2146968
VYTRA
—
01
—
2417161
UNITED
—
01
—
P0041416
RAILROAD MEDICARE
—
01
—
P3654049
OXFORD
—
Enumeration date
08/30/2006
Last updated
06/17/2022
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