Individual
ELIZABETH TAMAR BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 241-6694
Mailing address
1317 3RD AVE FL 2, NEW YORK, NY 10021-2951
(646) 410-0710
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061832
NY
Other
Enumeration date
03/25/2020
Last updated
06/13/2022
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