Individual
SAM BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8881 STATE ROUTE 97, CALLICOON, NY 12723-5052
(845) 887-5693
(845) 887-5694
Mailing address
8881 STATE ROUTE 97, CALLICOON, NY 12723-5052
(845) 887-5693
(845) 887-5694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334297-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02738049
—
NY
Enumeration date
07/19/2006
Last updated
11/27/2023
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