Organization
DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON JAY BERG DPM (OWNER)
(718) 224-9000
Entity
Organization
Contact information
Practice address
21409 73RD AVE, BAYSIDE, NY 11364-2947
(718) 224-9000
(718) 224-1348
Mailing address
21409 73RD AVE, BAYSIDE, NY 11364-2947
(718) 224-9000
(718) 224-1348
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N002482
NY
Other
Enumeration date
05/10/2007
Last updated
08/01/2008
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