Individual
PAUL S. BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 MARCUS AVE, SUITE N204, NEW HYDE PARK, NY 11042-2061
(516) 684-9229
(516) 977-8589
Mailing address
130 SHORE RD, #139, PORT WASHINGTON, NY 11050-2205
(516) 684-9229
(516) 977-8589
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
198682
NY
Other
Enumeration date
04/13/2006
Last updated
02/07/2012
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