Berg, Herman B

Berg, Herman B is an individual health care provider with primary practice located at 55-15 Little Neck Pkwy Savoy Medical Plaza Suite L10, Little Neck NY 11362. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berg, Herman B can be contacted via phone (718) 352-6200.

Contact Information

Primary practice address
55-15 Little Neck Pkwy Savoy Medical Plaza Suite L10 Little Neck NY 11362
Fax: (718) 352-6777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 093875 New York

Profile Details

NPI number 1881709962
LBN Legal business name Berg, Herman B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Sep 25th, 2012 - about 13 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 1881709962 NPPES
New York MEDICAID 00246520

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