Berger, Judith Joan

Berger, Judith Joan is an individual health care provider with primary practice located at 4422 3Rd Ave , Bronx NY 10457-2545. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Berger, Judith Joan can be contacted via phone (718) 960-6205.

Contact Information

Primary practice address
4422 3Rd Ave Bronx NY 10457-2545
Fax: (718) 960-3218
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 147454 New York

Profile Details

NPI number 1629031943
LBN Legal business name Berger, Judith Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2006
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629031943 NPPES
New York MEDICAID 00974236

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