Individual
DR. JONATHAN IAN BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 CROSFIELD AVENUE, SUITE 318, WEST NYACK, NY 10994
(845) 353-5600
(845) 353-5668
Mailing address
20 GRAND STREET, 3RD FLOOR, WARWICK, NY 10990-1035
(845) 353-5600
(845) 987-5979
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
241687
NY
207RP1001X
Pulmonary Disease Physician
Primary
241687
NY
Other
Enumeration date
09/19/2008
Last updated
01/02/2019
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