Berger, Jack Jicchak

Berger, Jack Jicchak is an individual health care provider with primary practice located at 3030 Westchester Ave , Purchase NY 10577-2574. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Berger, Jack Jicchak can be contacted via phone (914) 682-6511.

Contact Information

Primary practice address
3030 Westchester Ave Purchase NY 10577-2574
Phone: (914) 682-6511
Fax: (914) 607-6280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 132057 New York
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 038356 Connecticut

Profile Details

NPI number 1770568719
LBN Legal business name Berger, Jack Jicchak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Jan 21st, 2016 - about 9 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 1770568719 NPPES
New York Other WP461 OXFORD
New York Other 132057 OXFORD
New York Other 133884168 OXFORD
New York MEDICAID 00597755 OXFORD
New York Other 0D1950/3C1296 OXFORD
New York Other 133884168 OXFORD
New York Other 4540891 OXFORD
New York Other 461517 OXFORD
New York Other 51A531 OXFORD
New York Other 133884168 OXFORD
New York Other 133884168 OXFORD
New York Other 000000045882 OXFORD
New York Other 0051090 OXFORD
New York Other 132057-1W OXFORD
New York Other 132057 OXFORD
New York Other 1721079-005 OXFORD
New York Other 2178760 OXFORD
New York Other 517105 OXFORD

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