Individual
ROBERT J BERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 MONTAUK HWY, WEST ISLIP, NY 11795-4911
(631) 587-5444
(631) 587-4938
Mailing address
747 MONTAUK HWY, WEST ISLIP, NY 11795-4911
(631) 587-5444
(631) 587-4938
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
118380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1099813
GHI
—
01
—
112677136019
CIGNA
—
01
—
118380
HIP
—
01
—
2194
VYTRA
—
01
—
4093624
AETNA
—
01
—
522479
UNITED HEALTHCARE
—
01
—
78L771
BCBS
NY
01
—
85727
USHC
—
01
—
AA00111
MDNY
—
01
—
CS167
OXFORD
—
Enumeration date
11/27/2006
Last updated
05/08/2012
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