Individual
DR. RICHARD STEPHEN BERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3377 RICHMOND AVENUE, STATEN ISLAND, NY 10312
(718) 948-2900
(718) 948-7510
Mailing address
3377 RICHMOND AVENUE, STATEN ISLAND, NY 10312
(718) 948-2900
(718) 948-7510
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS027408
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00288537
—
NY
Enumeration date
11/21/2006
Last updated
07/08/2007
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