Organization
BERGER MEDICAL AESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC S. BERGER M.D. (OWNER/PRESIDENT)
(212) 838-6900
Entity
Organization
Contact information
Practice address
333 E. 49TH STREET, SUITE LD, NEW YORK, NY 10017
(212) 838-6900
(212) 838-6714
Mailing address
333 E. 49TH STREET, SUITE LD, NEW YORK, NY 10017
(212) 838-6900
(212) 838-6714
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
139848-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139848-1
LICENSE #
NY
Enumeration date
03/31/2010
Last updated
03/31/2010
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