Berger, Marc Jay

Berger, Marc Jay is an sole proprietor health care provider with primary practice located at 13726 71St Ave , Flushing NY 11367-1939. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Berger, Marc Jay can be contacted via phone (212) 496-1423.

Contact Information

Primary practice address
13726 71St Ave Flushing NY 11367-1939
Phone: (212) 496-1423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 179789 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 179789 New York

Profile Details

NPI number 1679642649
LBN Legal business name Berger, Marc Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 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 1679642649 NPPES
Other P695313 OXFORD
Other N28808 OXFORD
Other 0005444592 OXFORD
MEDICAID 01562156 OXFORD
Other 6007240 OXFORD

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