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Individual

WILLIAM J BERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1201 NORTHERN BLVD STE 201, MANHASSET, NY 11030-3001
(516) 488-4428
(516) 328-2723
Mailing address
2001 MARCUS AVE, SUITE S250, NEW HYDE PARK, NY 11042-1011
(516) 488-4428
(516) 328-2723

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
147427
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0096071
GHI
NY
05
00963837-9
NY
01
08307
GHI MEDICARE
NY
01
147427-9
WORKMANS COMP
NY
01
26336
VYTRA
NY
01
29434
AETNA
NY
01
370071P
HIP
NY
01
AS566
OXFORD
NY
Enumeration date
12/21/2005
Last updated
12/18/2017
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