Individual
MR. CHAD K BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 LIVINGSTON STREET SUITE 1101, BROOKLYN, NY 11201
(718) 625-4055
Mailing address
111 LIVINGSTON ST STE 101, BROOKLYN, NY 11201-5078
(718) 625-4055
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NY
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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