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Organization

STANLEY J BERKE MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STANLEY J BERKE M.D. (DIRECTOR)
(516) 794-2020
Entity
Organization

Contact information

Practice address
901 STEWART AVE, SUITE 255, GARDEN CITY, NY 11530-4893
(516) 794-2020
(516) 794-2029
Mailing address
1600 STEWART AVE, SUITE 306, WESTBURY, NY 11590-6696
(516) 794-2020
(516) 794-2029

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
151730
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00795455
NY
Enumeration date
05/10/2012
Last updated
06/28/2013
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