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Individual

JACOB E. BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.M.S.W.

Contact information

Practice address
4525 HENRY HUDSON PKWY APT 810, BRONX, NY 10471-3811
(917) 885-3424
Mailing address
4525 HENRY HUDSON PKWY APT 810, BRONX, NY 10471-3811
(917) 885-3424

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
079744
NY

Other

Enumeration date
12/21/2009
Last updated
01/15/2010
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