Berger, Evan R

Berger, Evan R is an individual health care provider with primary practice located at 235 N Belle Mead Rd , East Setauket NY 11733-3456. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Berger, Evan R can be contacted via phone (631) 751-3000.

Contact Information

Primary practice address
235 N Belle Mead Rd East Setauket NY 11733-3456
Phone: (631) 751-3000
Fax: (631) 751-3366
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 109138 New York

Profile Details

NPI number 1225032204
LBN Legal business name Berger, Evan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Mar 7th, 2023 - about last year

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 1225032204 NPPES
New York MEDICAID 00679790
New York Other 109138

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