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
Phone: (718) 638-2020
Fax: (718) 230-3429
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780621730 | NPPES |
| New York | MEDICAID | 01076439 |
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