Berger, Edward

Berger, Edward is an individual health care provider with primary practice located at 2 Middlesex Rd , East Greenbush NY 12061-2504. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Berger, Edward can be contacted via phone (518) 479-4722.

Contact Information

Primary practice address
2 Middlesex Rd East Greenbush NY 12061-2504
Fax: (518) 479-4725
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT0005420 New York

Profile Details

NPI number 1558497941
LBN Legal business name Berger, Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Sep 21st, 2007 - about 18 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 1558497941 NPPES
New York Other 10000140 CDPHP
New York Other 59129 CDPHP

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