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Individual

DR. MARC JAY BERGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13726 71ST AVE, FLUSHING, NY 11367-1939
(212) 496-1423
Mailing address
13726 71ST AVE, FLUSHING, NY 11367-1939
(212) 496-1423
(917) 203-9091

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
179789
NY
208D00000X
General Practice Physician
179789
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005444592
AETNA
05
01562156
NY
01
6007240
GHI
01
N28808
HEALTHNET NORTHEAST
01
P695313
OXFORD
Enumeration date
11/06/2006
Last updated
01/26/2026
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