Berger, Dan
Berger, Dan is an sole proprietor health care provider with primary practice located at 38 Woodbine Ave , Stony Brook NY 11790-1544. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Berger, Dan can be contacted via phone (631) 751-4340.Contact Information
Primary practice address
38 Woodbine Ave
Stony Brook NY 11790-1544
Phone: (631) 751-4340
Fax: (631) 689-0451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4343 | New York |
Profile Details
| NPI number | 1447374525 |
|---|---|
| LBN Legal business name | Berger, Dan |
| Credentials | ED.D., ABPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447374525 | NPPES |
| New York | MEDICAID | 00393646 |
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