Berg, Mark S
Berg, Mark S is an sole proprietor health care provider with primary practice located at 213 Hempstead Ave , Lynbrook NY 11563-1607. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Berg, Mark S can be contacted via phone (516) 599-0575.Contact Information
Primary practice address
213 Hempstead Ave
Lynbrook NY 11563-1607
Phone: (516) 599-0575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 31917 | New York |
Profile Details
| NPI number | 1780797118 |
|---|---|
| LBN Legal business name | Berg, Mark S |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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