Individual
DOMINICK ANTHONY SHAO-BERKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 SHERIDAN AVE, WALDWICK, NJ 07463-2210
(415) 999-6543
Mailing address
622 WEST 168TH STREET, PH 505, 5TH FLOOR, NEW YORK, NY 10032-3720
(415) 999-6543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
598181
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
95000377
CA
Other
Enumeration date
04/27/2015
Last updated
03/29/2023
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