Berdia, Ajay V.

Berdia, Ajay V. is an sole proprietor health care provider with primary practice located at 640 Belle Terre Road, Building H , Port Jefferson NY 11777-0001. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Berdia, Ajay V. can be contacted via phone (631) 474-1112.

Contact Information

Primary practice address
640 Belle Terre Road, Building H Port Jefferson NY 11777-0001
Phone: (631) 474-1112
Fax: (631) 474-1112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 196859 New York

Profile Details

NPI number 1801891908
LBN Legal business name Berdia, Ajay V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Jun 6th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801891908 NPPES
New York Other 130019918 RAIL ROAD MEDICARE
New York Other 2190491 RAIL ROAD MEDICARE
New York Other 810620 RAIL ROAD MEDICARE
New York Other P560221 RAIL ROAD MEDICARE
New York Other 3099464 RAIL ROAD MEDICARE
New York Other 087312 RAIL ROAD MEDICARE
New York Other 48613 RAIL ROAD MEDICARE
New York MEDICAID 01524845 RAIL ROAD MEDICARE
New York Other 196859 RAIL ROAD MEDICARE

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