Berg, Daniel Eric
Berg, Daniel Eric is an individual health care provider with primary practice located at 2211 Genesee St Suite 200, Utica NY 13501-5930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Berg, Daniel Eric can be contacted via phone (315) 733-7598.Contact Information
Primary practice address
2211 Genesee St Suite 200
Utica NY 13501-5930
Phone: (315) 733-7598
Fax: (315) 733-2102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 244141 | New York |
Profile Details
| NPI number | 1578636650 |
|---|---|
| LBN Legal business name | Berg, Daniel Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jul 13th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578636650 | NPPES |
| New York | MEDICAID | 02879972 |
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