Individual
SHELLEY R. BERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 STRAWTOWN RD, SUITES 6 & 7, WEST NYACK, NY 10994-1847
(845) 727-1340
(845) 727-1349
Mailing address
2 STRAWTOWN ROAD, SUITES 6 & 7, WEST NYACK, NY 10994
(845) 727-1340
(845) 727-1349
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
173585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02153667
—
NY
Enumeration date
07/26/2006
Last updated
06/21/2012
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