Individual
DR. JEFFREY T BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
222 STATION PLZ N, SUITE 518, MINEOLA, NY 11501-3808
(516) 663-2588
(516) 663-4644
Mailing address
222 STATION PLZ N, SUITE 518, MINEOLA, NY 11501-3808
(516) 663-2588
(516) 663-4644
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
179152
NY
207R00000X
Internal Medicine Physician
179152
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
179152
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01352354
—
NY
Enumeration date
04/14/2006
Last updated
02/25/2021
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