Individual
DR. MARK S BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
213 HEMPSTEAD AVE, LYNBROOK, NY 11563-1607
(516) 599-0575
Mailing address
213 HEMPSTEAD AVE, LYNBROOK, NY 11563-1607
(516) 599-0575
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
31917
NY
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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