Berger, Jeremy J

Berger, Jeremy J is an individual health care provider with primary practice located at 1978 Crompond Rd , Cortlandt Manor NY 10567-4111. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Berger, Jeremy J can be contacted via phone (914) 241-1050.

Contact Information

Primary practice address
1978 Crompond Rd Cortlandt Manor NY 10567-4111
Phone: (914) 241-1050
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 017988 New York

Profile Details

NPI number 1649672585
LBN Legal business name Berger, Jeremy J
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2014
Last updated Oct 18th, 2018 - about 6 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 1649672585 NPPES
New York MEDICAID 04542421

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