Individual
EDWARD BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2 MIDDLESEX RD, EAST GREENBUSH, NY 12061-2504
(518) 479-4722
(518) 479-4725
Mailing address
2 MIDDLESEX RD, EAST GREENBUSH, NY 12061-2504
(518) 479-4722
(518) 479-4725
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT0005420
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10000140
CDPHP
NY
01
—
59129
MVP
NY
Enumeration date
02/27/2007
Last updated
09/21/2007
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