Individual
DR. WILLIAM TRAVIS BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 NICOLLS ROAD, HSC T9-040, STONY BROOK, NY 11794
(631) 444-1910
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(914) 393-3355
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
298949
NY
208800000X
Urology Physician
MD16713
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2013
Last updated
04/10/2022
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