Organization
ANDREW L BERGER, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW L BERGER PH.D. (PRESIDENT)
(631) 499-6143
Entity
Organization
Contact information
Practice address
283 COMMACK RD, SUITE LL2, COMMACK, NY 11725-6021
(631) 499-6143
(631) 493-0352
Mailing address
283 COMMACK RD, SUITE LL2, COMMACK, NY 11725-6021
(631) 499-6143
(631) 493-0352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
V21871
PTAN
NY
Enumeration date
04/18/2012
Last updated
04/18/2012
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