Berke, Stanley J

Berke, Stanley J is an individual health care provider with primary practice located at 1600 Stewart Avenue Suite 306, Westbury NY 11590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Berke, Stanley J can be contacted via phone (516) 794-2020.

Contact Information

Primary practice address
1600 Stewart Avenue Suite 306 Westbury NY 11590
Phone: (516) 794-2020
Fax: (516) 794-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 151730 New York

Profile Details

NPI number 1053315416
LBN Legal business name Berke, Stanley J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Dec 20th, 2013 - about 11 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 1053315416 NPPES
New York MEDICAID 00795455

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