Individual
DR. STEPHEN BERCHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
4303 13TH AVE, BROOKLYN, NY 11219-1337
(347) 598-1782
Mailing address
1229 E 66TH ST, BROOKLYN, NY 11234-5604
(347) 598-1782
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
060051
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
05/11/2020
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