Berg, Peter David

Berg, Peter David is an individual health care provider with primary practice located at 11 Plaza St W , Brooklyn NY 11217-3706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berg, Peter David can be contacted via phone (718) 638-2020.

Contact Information

Primary practice address
11 Plaza St W Brooklyn NY 11217-3706
Fax: (718) 230-3429
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 154150 New York

Profile Details

NPI number 1780621730
LBN Legal business name Berg, Peter David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Jul 8th, 2007 - about 19 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 1780621730 NPPES
New York MEDICAID 01076439

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