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Individual

SONDRA K BERGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3 PINE WEST PLZ STE 306, ALBANY, NY 12205-5522
(518) 456-3668
Mailing address
3 PINE WEST PLZ STE 306, ALBANY, NY 12205-5522
(518) 456-3668

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
005963
NY
213ES0131X
Foot Surgery Podiatrist
005963
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000407063001
BS OF NE NY
05
02A79165
NY
01
10075790
CDPHP
01
245003
WELLCARE
01
364739
MVP
01
5162828000
MAGNACARE
01
6202441
GHI CBPPPO
01
79594
GHI HMO
01
9313757
PHCS PPO
01
P3297178
OXFORD
01
PJ048
EMPIRE BCBS
Enumeration date
01/23/2006
Last updated
01/05/2021
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