Individual
DR. ANTHONY BERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6081
(212) 367-1742
Mailing address
325 W 15TH ST, NEW YORK, NY 10011-5903
(212) 604-6081
(212) 367-1742
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1836091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01299072
—
NY
Enumeration date
06/30/2005
Last updated
07/08/2007
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