Organization
SOUTH BAY UROLOGIC ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J BERSON M.D. (PHYSICIAN OWNER)
(631) 587-5444
Entity
Organization
Contact information
Practice address
747 MONTAUK HWY, WEST ISLIP, NY 11795-4911
(631) 587-5444
(631) 587-4938
Mailing address
747 MONTAUK HWY, WEST ISLIP, NY 11795-4911
(631) 587-5444
(631) 587-4938
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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