Organization
SOUTHERN WESTCHESTER INFECTIOUS DISEASE GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER B BERKEY M.D. (PRESIDENT)
(914) 376-1543
Entity
Organization
Contact information
Practice address
970 N BROADWAY, SUITE 212, YONKERS, NY 10701-1309
(914) 376-1543
(914) 376-2761
Mailing address
970 N BROADWAY, SUITE 212, YONKERS, NY 10701-1309
(914) 376-1543
(914) 376-2761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NY
207RI0200X
Infectious Disease Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01677807
—
NY
01
—
CJ3556
RR MEDICARE
NY
Enumeration date
12/13/2006
Last updated
10/16/2011
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