Individual
CLARA BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 LAMPED LOOP, STATEN ISLAND, NY 10314-5825
(134) 762-8356
Mailing address
27 LAMPED LOOP, STATEN ISLAND, NY 10314-5825
(134) 762-8356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1086412161
NY
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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