Individual
MALCOLM BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
122 SOUTHWOODS RD, WOODBURY, NY 11797
(516) 921-6068
(516) 921-6068
Mailing address
122 S WOODS RD, WOODBURY, NY 11797-1012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001976
NY
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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