Berk, Richard Stephen
Berk, Richard Stephen is an individual health care provider with primary practice located at 3377 Richmond Avenue , Staten Island NY 10312. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Berk, Richard Stephen can be contacted via phone (718) 948-2900.Contact Information
Primary practice address
3377 Richmond Avenue
Staten Island NY 10312
Phone: (718) 948-2900
Fax: (718) 948-7510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DDS027408 | New York |
Profile Details
| NPI number | 1760557417 |
|---|---|
| LBN Legal business name | Berk, Richard Stephen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760557417 | NPPES |
| New York | MEDICAID | 00288537 |
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